decisionhealth Newsletters, Answer Books - 2008 Issue 5 (May)
Medicare_Carriers_Manual / 2251 / 2251._COVERAGE_OF_CHIROPRACTIC_SERVICES
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Article Overview
This article explains Medicare coverage boundaries for chiropractic services under the Medicare Carriers Manual. It focuses on the general scope of covered manual manipulation services, how diagnostic testing ordered by chiropractors is treated for coverage purposes, a date-based policy update related to x-ray use, and terminology that may appear in service documentation or claims review. The content is relevant to coders, billers, and compliance staff who need to understand how Medicare distinguishes covered chiropractic care from noncovered services.
Why This Topic Matters
This guidance helps determine whether a chiropractic claim falls within Medicare’s covered service categories and how supporting documentation may be viewed during claims processing. It is especially useful for avoiding misunderstandings about diagnostic services, service wording, and review of chiropractic claims.
What You Will Learn
- The general scope of Medicare-covered chiropractic services
- How Medicare treats diagnostic tests ordered or interpreted by chiropractors
- A policy change affecting x-ray requirements for subluxation claims
- Which terms may be used to describe covered manual manipulation
- When claims may warrant professional review based on service wording
Who Should Read This
- Medical coders
- Chiropractic billing staff
- Compliance professionals
- Claims processors
- Revenue cycle staff
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