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. ...

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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 brief coding article addresses a common question about the relationship between chiropractic manipulative treatment billing and modifier 51. It is aimed at coders and billing staff who need to understand how NCCI guidance and CPT reference lists relate to one another when reviewing these services.

Why This Topic Matters

This topic matters because modifier use can affect claim processing and compliance reviews, especially when general coding references and edit guidance appear to differ.

Codes Discussed

• CPT: 98940
• CPT: 98943

Code Ranges Discussed

• CPT: 98940-98943

Modifiers Discussed

• CPT: 51

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