AMA CPT® Assistant - 2013 Issue 12 (December)

Medicine: Chiropractic Manipulative Treatment (Q&A) (December 2013)

December 2013 page 15 Medicine: Chiropractic Manipulative Treatment Question: Is modifier 51, Multiple Procedures, applicable to chiropractic manipulative treatment (CMT) codes (98940-98943)? The National Correct Coding Initiative (NCCI) edits indicate that modifier 51 does not apply to these procedures as they are considered separate and distinct; however, these codes do not appear in the list of CPT codes exempt from modifier 51 in CPT® 2013. Answer: Modifier 51 should not be appended to the CMT codes. These are separate and distinct procedures and the use of modifier 51 does not apply. ♦ Medicine: Chiropractic Manipulative Treatment (Q&A) (December...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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