Chiropractic - JE Part B

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)