Name of Manual - Blue Cross and Blue Shield of Minnesota

Examination Codes
(continued)
Chiropractic
Manipulation
Treatment
Established Patient – Re-examination
Coding Policies and Guidelines (Chiropractic)
Periodic examinations are typically performed in order to formally
assess the patient's response to treatment, progress, and make
necessary changes to the treatment plan.
For any of the above circumstances, a -25 modifier must be
submitted on the E/M service if there was a significant separately
identifiable E/M service.
The chiropractic manipulation treatment codes (CMT) include a
pre-manipulation patient assessment, the adjustment, and
evaluation of the effect of treatment. The CMT codes 98940-98942
are used to indicate the number of spinal areas manipulated. CMT
code 98943 is used to report chiropractic manipulation of one or
more of the extra-spinal regions (head region; lower extremities;
upper extremities; rib cage; abdomen).
PRE Service
PRE Service work may include a review of:
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the patient’s records
their diagnostic tests
communication with other providers
the actual preparations for care
INTRA Service
INTRA Service work would include:
discussion about the service with the patient
a pertinent evaluation and assessment of the patient
the procedure
POST Service
POST Service work includes:
an evaluation and discussion with the patient about the effect
of treatment
arrangement of additional services or referral to another
provider
discussion of the case with other providers
review of literature about the patient’s condition
documenting the service
Blue Cross Blue Shield of Minnesota Provider Policy and Procedure Manual (03/06/12)
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