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  • 98940 medicare modifiers

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    Use of the AT modifier for Chiropractic Billing – CMS

    The Active Treatment (AT) modifier was developed to clearly define the difference
    … Medicare billing to receive reimbursement for CPT codes 98940-98942.

    Bulletin Number: xxxxxx – CMS

    Apr 6, 2013 … treatment (those using HCPCS codes 98940, 98941, or 98942). … Medicare
    patients, you must add the AT modifier to every claim that uses …

    Bulletin Number: xxxxxx – CMS

    Jul 31, 2012 … Overview of Medicare Policy Regarding Chiropractic Services … office staffs are
    aware of the correct use of codes and modifiers and Medicare ….. o 98940:
    Chiropractic Manipulative Treatment (CMT); spinal, one or two.


    articles in the series are SE1602, which details the use of the AT modifier on …
    under Medicare: 98940 (chiropractic manipulative treatment; spinal, one to two …

    Bulletin Number: xxxxxx – CMS

    billed for the same visit, it is necessary to attach a “-25” modifier to the E&M code.
    …. Current Medicare coverage for chiropractic services (codes 98940, 98941,.

    Coding Guidelines Chiropractic Services The diagnosis must … – CMS

    The x-ray must be made available to Medicare when requested. … For CPT code
    98940, Chiropractic manipulative treatment (CMT), one or two regions, …
    Medicare patients, you must add the AT (acute treatment) modifier to every claim
    that …

    Billing and Coding Guidelines: CHIRO-001 – Chiropractic … – CMS

    For Medicare purposes, the AT modifier shall now be used only when … code
    98940, 98941, 98942) with a date of service on or after October 1, 2004, to
    include …

    CMS Manual System

    Oct 1, 2004 … B. Policy: For Medicare purposes, the AT modifier shall now be used only … 1)
    Every chiropractic claim (those containing HCPCS code 98940, …

    Inappropriate Medicare Payments for Chiropractic Services – OIG

    AT modifier did not prevent inappropriate payments for maintenance therapy
    because …. under Medicare: 98940 (chiropractic manipulative treatment; spinal,.

    Advanced Chiropractic Services Received Unallowable Medicare …

    codes: 98940 (for treatment of one to two regions), 98941 (for treatment of …
    Medicare requires chiropractors to place the AT (Acute Treatment) modifier on a …

    Chiropractic Services – Iowa Department of Human Services

    Apr 1, 2014 … payable under Title XVIII of the Social Security Act (i.e., Medicare Part B). …. For
    telephonic interpretive services use modifier “UC” to indicate that … 98940.
    Spinal, one or two regions. 98941. Spinal, three or four regions.

    Physician Payment Rates in Alaska and Comparison States

    Nov 29, 2011 … of the average Medicare reimbursement in the five comparison states. Across all
    ….. Reimbursement for some procedure codes is impacted by modifiers. ….. 21.80
    . 21.02. 23.02. 21.47. 20.52. Chiropractic manipulation. 98940.

    2005 Health Care Services Rules – State of Michigan

    (a) All ancillary services listed in “Medicare's National Level II CODES HCPCS”,
    referenced in R …… the service with procedure codes 98940-98942. … (4) Mental
    health providers shall use the following modifiers to describe the practitioner.

    chiropractor – at

    CMS-1500 Claim Form Instructions for Chiropractic Providers . …. 98940 –
    Chiropractic Manipulative Treatment, spinal, one to two regions ….. Common
    Procedure Coding System (HCPCS) codes and modifiers. ICD-9-CM diagnosis
    codes are …

    Billing Instruction Manual For – WV CHIP

    Medicare and Medicaid Services (CMS) as either FQHC or RHC, or a FQHC “
    look-alike”. This certification must be …. modifier with the T1015 code to
    distinguish the type of visit. The list of … Chiropractic Manipulative Treatment:
    98940 – 98943.


    Jan 1, 2014 … Centers for Medicare and Medicaid Services (CMS). ….. CPT® code 98940 may
    be billed in each claim with BWC modifier PC added to the …


    Mar 12, 2003 … assume that simply adding the -22 modifier to a CPT code entitles him ….
    established set of criteria for use and that Medicare has an ….. continued
    inclusion of chiropractic manipulative treatment codes 98940 to 98942 in the.

    north dakota medicaid – North Dakota State Government

    Apr 1, 2006 … modifier or the claims will be denied. • For claims, or … depending on which
    Medicare Prescription Drug. Plan they ….. 98940, 98941,98942.

    Director's Interpretations of Issues Impacting –

    Jan 1, 2015 … and five character identifying codes and modifiers for reporting medical services
    and procedures performed by … Chiropractic manipulation codes are 98940-
    98943. • Add-on … as covered under Medicare's ASP fee schedule.

    October 2015 – Utah Medicaid –

    Oct 1, 2015 … the Medicare list of PPC diagnoses and the Utah Medicaid Hospital Services …
    2015, use code 98940 (Chiropractic manipulative treatment (CMT); spinal) …
    Chapter 4, Procedure Codes and Modifiers, a correction has been …

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