Updated: Apr 7
Benefits of Chiropractic Insurance Billing
When looking to increase your client base, your practice should be in-network with insurance this can help you reach new patients. Patients looking for a new provider will often turn to their coverage to find who is going to accept their insurance.
You will come up as an in-network provider, and patients will be more likely to consider working with you. Accepting insurance where your patients have their health plan will also increases patient loyalty; this will ensure financial stability for patients, especially over long periods of time.
Additionally, insurance acceptance in your practice allows you to widen your patient base to include patients who are entirely rely on insurance to pay for medical fees. You will find that your practice can increase its reach within your community, to deliver best care to patients who require it.
List of CPT Codes for Chiropractic
For chiropractor providers, CPT codes are an vital part of the billing process; they shows that the insurance company, exactly what procedures were performed and what the provider would like to get reimbursement for.
While other medical providers may use a wide range of CPT codes, there are four main codes for chiropractors, with each shows the region of the spine that was treated:
CPT Code 98940
Chiropractic manipulative treatment (CMT); Spinal, 1-2 regions
CPT Code 98941
Chiropractic manipulative treatment (CMT); Spinal, 3-4 regions
CPT Code 98942
Chiropractic manipulative treatment (CMT); Spinal, 5 regions
CPT Code 98943
Chiropractic manipulative treatment (CMT); Extraspinal, 1 or more regions
Make sure to be extremely clear on your form the proper number of regions treated.
Using CPT code 98942, which would indicate five regions treated, but only documenting treatment in three to four regions will result in a denial of the claim from the insurance company.
Most commonly used CPT codes
CPT Code 99202 – Evaluation and Management, Initial Visit
CPT Code 99203 – Evaluation and Management, Initial Visit
CPT Code 99204 – Evaluation and Management, Initial Visit
CPT Code 99212 – Evaluation and Management, Established Patient
CPT Code 99213 – Evaluation and Management, Established Patient
CPT Code 99214 – Evaluation and Management, Established Patient
CPT Code 97140 – Manual Therapy
CPT Code 97110 – Therapeutic Exercise
CPT Code 97750 – Physical Performance Examination
CPT Code 99211 – Re-evaluation
CPT Code 97112 – Neuromuscular Re-education
CPT Code 97530 – Therapeutic Activities
CPT Code 97010 – Hot/Cold Packs
CPT Code 97014 – Electrical Stimulation (Unattended)
CPT Code 97035 – Ultrasound/Phonophoresis
CPT Code 97161 – PT Evaluation: Low Complexity
CPT Code 97116 – Gait Training
CPT Code 97162 – PT Evaluation: Moderate Complexity
CPT Code 97535 – Self Care/Home Management Training
CPT Code 97032 – Electrical Stimulation (Manual)
CPT Code 97012 – Mechanical Traction
CPT Code 97113 – Aquatic Exercise
CPT Code 97124 – Massage
CPT Code 97018 – Paraffin Bath
CPT Code 97022 – Whirlpool
CPT Code 97026 – Infrared Light
CPT Code 97033 – Iontophoresis
CPT Code 97039 – Laser/Other
CPT Code 72020 – Radiologic examination, spine, single view, specify level
CPT Code 72040 – Radiologic examination, spine, cervical; two or three views
CPT Code 72070 – Radiologic examination, spine; thoracic, two views
CPT Code 72072 – Radiologic examination, spine; thoracic, three views
CPT Code 72100 – Radiologic examination, spine, lumbosacral; two or three views
CPT Code 72170 – Radiologic examination, pelvis; one or two views
CPT Code 72190 – Radiologic examination, pelvis; complete, minimum of three views
CPT Code 72200 – Radiologic examination, sacroiliac joints; less than three views
CPT Code 72220 – Radiologic examination, sacrum and coccyx; minimum of two views
Benefits of X-Factor Healthcare Solutions LLC for Insurance Billing
Whenever you are about to start with insurance billing, it is necessary to have all the right tools in place for your chiropractic medical billing. X-Factor Healthcare Solutions LLC is a HIPAA compliant company, this will support chiropractors by reducing the medical billing operations time, while also helping to ensure correct medical claim submission with all revenue cycle best practices to reduce claim denials.