Chiropractic - JE Part B
Chiropractic
Access the below chiropractic services related information from this page.
- Claim Submission Requirements
- Documentation Guidelines
- Excluded Chiropractic Services
- General Coverage and Subluxation
- Related Latest Updates Articles
- Resources
Excluded Chiropractic Services
A Beneficiary is responsible for these services. A provider may bill patient without billing Medicare.
- Acupuncture
- Counseling/education
- Dietary advice/nutritional supplements
- Lab or other diagnostic tests
- Physical therapies (exercise, ultrasound, traction)
- May bill for denial with GP GY modifiers appended to CPT 97xxx
- Office visits
- Supplies (pillows or vitamins)
- Supportive (bracing, orthopedic)
- X-rays
Resources
- CMS Internet Only Manual (IOM), Publication 100-01, Medicare General Information, Eligibility, and Entitlement, Chapter 5, Section 70.6 - Chiropractor by Definition
- CMS IOM, Publication 100-02, Medicare Benefit Policy Manual, Chapter 15, Section 30.5 and 240 - Chiropractic Services - General and Chiropractic Coverage
- CMS IOM, Publication 100-04, Medicare Claims Processing Manual, Chapter 12, Section 220 - Chiropractic Documentation Requirements
- Title XVIII of the Social Security Act, Section 1862(a)(7)
- Title XVIII of the Social Security Act, Section 1862(a)(1)(A)
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