Chiropractic Services - Initial Treatment Date - JF Part B

Common Reasons for Message

• Initial treatment date in Item 14 is either missing or invalid
• Incorrect qualifier was used on electronic claim

Next Step

• Resubmit claim with initial treatment date Item 14 or electronic equivalent
  • Initial treatment date is required on all chiropractic claims involving spinal manipulation
• Resubmit electronic claim with correct qualifier for initial treatment date
  • Initial treatment date is submitted in Loop 2300
  • Initial treatment date is reported in a DTP segment in format CCYYMMDD
  • Qualifier must be submitted as 454

Claim Submission Tips

• Paper submitters: See CMS-1500 Tutorial for form instructions
• Electronic submitters: See Electronic Data Interchange Support Services (EDISS) Billing Chiropractic Claims Electronically