Transcription of SHEET Chiropractic Services - CMS
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FACT. SHEET Chiropractic Services Medicare allows only Services Definitions that are medically necessary, except as mandated by Manual manipulation: treatment by means of manual manipulation of the spine to correct a statute. For Chiropractic subluxation (that is, by use of the hands). Services , this means the patient must have a significant Patient must require treatment by means of manual manipulation. health problem in the form Manipulation Services rendered must have direct therapeutic relationship to the of a neuromusculoskeletal patient's condition. condition necessitating There must be a reasonable expectation of recovery or improvement of function resulting treatment, and the from the planned treatment. manipulative Services Scope: Services Other than Manual Manipulation of the Spine rendered must have a direct, When required criteria are met, Medicare covers manual manipulation of the spine by therapeutic relationship to the chiropractors. NO other diagnostic or therapeutic service furnished by a chiropractor or under the patient's condition and provide chiropractor's order is covered.
SHEET PAGE 3 This Fact Sheet is for informational purposes only and is not intended to guarantee payment for services, all services billed to Medicare must meet Medical Necessity. The definition of “medically necessary” for Medicare purposes is located in Section
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