CMT Reference Documents

 Reference Documents It’s critical to know the rules of the game that you are sitting down to play when billing third-party payers and dealing with CPT® coding. In this section, we’ve provided three excellent reference documents that outline more information about the CMT codes, from three different perspectives. Note the Job Aide from Medicare that...
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CMT Coding Audit Tool

 Support Tool Third-party payers are data lovers. They know you and your practice by data points and not by name.  They know your various practice statistics and compare you to other practitioners billing the same codes on a local and national level.  This is a part of how they process the effectiveness of their definition...
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CMT Documentation Requirements

Meeting the Standards Chiropractors experience legal obligations when opening a practice and billing third-party payers for care. There is a Standard of Care to follow when practicing the art of Chiropractic to fulfill these obligations.  This includes both physical treatment of the patient and documentation, coding, and billing of the visits.  They are different extremities...
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Coding Extra Spinal Manipulation

Clarification & Expectations The procedure code 98943 represents extraspinal manipulation for Chiropractors. What areas are included in this code?  Can one bill 98943 with other CMT spinal codes when billing payors?  There is no hard and fast rule for the second question, but there are specific rules to make sure you are performing and documenting...
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Full Spine Adjusting Coding Expectations

Medically Necessary vs. Clinically Appropriate  Because the spine functions as a unit in how it adapts – either positively or negatively – adjusting the full spine makes sense. Full spine adjusters know that addressing just the primary area of a patient’s complaint can be futile and may even extend the length of time it takes...
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Coding Full Spine Adjustment

Primary vs. Compensatory Many Chiropractors practice full spine adjusting, or at minimum full spine evaluation. Others practice area specific adjusting according to complaint. Whichever way a doctor practices, they have reasoning for it, and it must be communicated in the documentation. A chosen chiropractic technique may require resolving/addressing areas of the body other than the...
OOPS, this page contains content reserved for KMC University members. We’d love to welcome you to the KMC University family because there is an amazing amount of helpful content in the trainings and resources of the KMC University Library. Click here to learn more.