Medicare manual, electronic claims, 837 claims, HCFA manual, commercial HCFA manual, diagnosis codes, ICD 10 codes  
 
   

This page contains many links that can be used for chiropractic practices to determine neuromuscular skeletal diagnosis, the Medicare processor for your state, Medicare enrollment,  Common ICD 10 codes and other Medicare goodies.
Medicare processor:  To know what the acceptable secondary diagnosis codes are, you first must know the Medicare processor in your state. To determine the Medicare processor for your state, click on this link: Medicare processor Medicare guidelines for chiropractors.
Medicare enrollment:  We were able to find to some of the Medicare enrollment forms and make them available to you. Otherwise, you will need to contact the Medicare processor in your state.

Cahaba

Palmetto GBA

Medicare guidelines for chiropractors.

Secondary Neuromuscular skeletal diagnosis codes:  the acceptable neuromuscular skeletal diagnosis codes will vary depending on the Medicare processor in your state. When you are billing Medicare, the primary diagnosis must be M99 followed by the digits which explain the level of subluxation.

CGS

Cahaba

NGS

Noridian

Novitas

WPS - Wisconsin Physician Services


Medicare guidelines for chiropractors.

Common ICD 10 codes: We have included a list of common ICD 10 codes that you might use in your practice. This list is not meant to be exhaustive, especially for extremity adjusting.

ICD 10 codes


Medicare guidelines for chiropractors.

Using an ABN:  Advanced Beneficiary Notice:  Whenever you provide services that you believe will be rejected by Medicare, it is a good idea to use an ABN. This notifies the patient that you believe the services will be rejected by Medicare. Examples of the need for ABM include x-rays, massage therapy, traction, electrical stimulation. Basically, Medicare only pays for chiropractic manipulation: 98940, 98941, 98942. Almost everything else fits under the need to have an ABN signed by the patient.  ABN


Medicare guidelines for chiropractors.