Medicine: Chiropractic Manipulative Treatment (Q&A) (November 2018)

November 2018 page 11 Medicine: Chiropractic Manipulative Treatment Question: A chiropractic manipulative treatment (CMT) is performed with a review of prior radiologic imaging on the same date an evaluation and management (E/M) visit is also performed. How should this be reported? Answer: CMT procedures include the review of prior radiologic imaging, test interpretation, and test results and pre-manipulation patient assessment, and are considered inclusive components of the CMT codes (98940-98943). Additional E/M services are performed and reported separately with modifier 25, if and only if the patient's condition requires a significant separately identifiable E/M service above and beyond the...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a chiropractic manipulative treatment question-and-answer scenario from CPT® Assistant focused on same-day service reporting. It is aimed at coders, billers, and clinicians who work with chiropractic medicine, evaluation and management services, and CPT guidance on bundled versus separately reported work. The discussion covers the general scope of included preservice and intraservice components and how accompanying E/M services are addressed at a high level.

Why This Topic Matters

It helps readers understand how CPT guidance treats chiropractic manipulative treatment work performed alongside an office visit, which is important for accurate documentation review and claim reporting.

Article Sections

  1. November 2018 page 11

    A brief dated introduction identifying the publication context for the question-and-answer guidance.

  2. Medicine: Chiropractic Manipulative Treatment

    The main Q&A discussion addressing chiropractic manipulative treatment and same-day evaluation and management reporting.

What You Will Learn

  • How the article frames chiropractic manipulative treatment documentation in relation to same-day professional services.
  • What general types of service components are discussed as part of the chiropractic manipulative treatment workflow.
  • How the article presents the relationship between chiropractic manipulative treatment and separately reported evaluation and management services.
  • The publication context and specialty area covered by the guidance.

Who Should Read This

  • Medical coders
  • Chiropractic billing staff
  • Compliance professionals
  • Physicians and other clinicians
  • Practice managers

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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