Chiropractic Manipulation

by  Brandy Brimhall, CPC CPCO CMCO CPMA QCC
March 3rd, 2017

Question: If a patient is treated with chiropractic manipulation and it is clinically appropriate but doesn't qualify as medically necessary care, what is the proper way to communicate this when billing the insurance company for the service? I would like to append the GA modifier, as we do with Medicare but private payers can't answer how to handle this. Can we use GA for all payers for this situation? 

Answer: The GA modifier is exclusive to Medicare. There is not a maintenance care modifier for other payors. To code and bill for maintenance care treatment, you would use code S8990 - Physical or manipulative therapy performed for maintenance rather than restoration.

Chiropractic Manipulation. (2017, March 3). Find-A-Code Articles. Retrieved from

© InnoviHealth Systems Inc

Article Tags  (click on a tag to see related articles)

Publish this Article on your Website, Blog or Newsletter

This article is available for publishing on websites, blogs, and newsletters. The article must be published in its entirety - all links must be active. If you would like to publish this article, please contact us and let us know where you will be publishing it. The easiest way to get the text of the article is to highlight and copy. Or use your browser's "View Source" option to capture the HTML formatted code.

If you would like a specific article written on a medical coding and billing topic, please Contact Us.


innoviHealth Systems, Inc.
62 East 300 North
Spanish Fork, UT 84660
Phone: 801-770-4203 (9-5 Mountain)
free demo
request yours today
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.