{"id":17398,"date":"2024-05-28T10:23:00","date_gmt":"2024-05-28T10:23:00","guid":{"rendered":"https:\/\/zhealthsoftware.com\/?p=17398"},"modified":"2025-07-28T14:50:07","modified_gmt":"2025-07-28T14:50:07","slug":"know-the-top-chiropractic-cpt-codes-that-can-save-your-billing-time","status":"publish","type":"post","link":"https:\/\/myzhealth.io\/blog\/know-the-top-chiropractic-cpt-codes-that-can-save-your-billing-time\/","title":{"rendered":"Know the Top Chiropractic CPT Codes That Can Save Your Billing Time"},"content":{"rendered":"\n[et_pb_section fb_built=”1″ admin_label=”section” _builder_version=”4.16″ global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_row admin_label=”row” _builder_version=”4.16″ global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||” theme_builder_area=”post_content”][et_pb_text admin_label=”Text” _builder_version=”4.17.4″ hover_enabled=”0″ global_colors_info=”{}” theme_builder_area=”post_content” sticky_enabled=”0″]

[This post was originally published on 25th August 2021. It has been updated on 28th May 2024]<\/strong><\/p>\n

Chiropractic codes are an integral part of the\u00a0chiropractic billing and coding<\/a> process. Using the chiropractic CPT codes accurately can streamline coding practices and improve your revenue cycle. Because CPT codes directly affect how much an insurance company will reimburse for chiropractic services, practices need to be careful about how coding is done. In this blog, we will tell you the most common chiropractic CPT codes and how you can analyze your CPT codes\u00a0for chiropractic consultation<\/span> to identify patterns.<\/p>\n

What are Chiropractic CPT Codes?<\/strong><\/h2>\n

Current Procedural Terminology (CPT) codes are managed, reviewed, and monitored by the American Medical Association. CPT codes for chiropractors are used to report diagnostic procedures and services and describe chiropractic examinations, adjustments, and imaging studies.<\/p>\n

Insurance companies use chiropractic billing codes to determine the reimbursement amount for a procedure performed by a provider. Billing with an incorrect CPT code for chiropractic<\/span> services can result in claim denials or rejections. There are chiropractic CPT codes for billing<\/span> tens of thousands of procedures. Therefore, it is important to understand the coding best practices and how you can streamline your coding and billing workflow.<\/p>\n

There are several categories of CPT chiropractic codes, including:<\/p>\n

Category I: Procedures, services, devices, and drugs, including vaccines
Category II: Performance measures and quality of care
Category III: Services and procedures using emerging technology<\/p>\n

There are also PLA codes that are alpha-numeric CPT codes used for lab testing.<\/p>\n

Category I CPT codes for chiropractic<\/span>, which are the most commonly used category among healthcare providers, are grouped into six broad sections as follows:<\/p>\n

\u2022 Evaluation and Management: Codes starting from 99201 to 99499
\u2022 Anesthesia: Codes 00100\u201301999; 99100\u201399140
\u2022 Surgery: Codes starting from 10021 to 69990
\u2022 Radiology: Codes starting from 70010 to 79999
\u2022 Pathology and Laboratory: Codes starting from 80047 to 89398
\u2022 Medicine: Codes starting from 90281\u201399199; 99500\u201399607<\/p>\n

The Most Common Chiropractic CPT Codes Used for Billing<\/strong><\/h2>\n

Chiropractic providers use a wide range of CPT codes for chiropractic services but the most common ones\u00a0are related to spinal manipulation:<\/p>\n

CPT Code 98940<\/b> Chiropractic manipulative treatment (CMT); spinal, 1-2 regions
CPT Code 98941<\/b> Chiropractic manipulative treatment (CMT); spinal, 3-4 regions
CPT Code 98942<\/b> Chiropractic manipulative treatment (CMT); spinal, 5 regions
CPT Code 98943<\/b> Chiropractic manipulative treatment (CMT); extraspinal, 1 or more regions<\/p>\n

When billing these CPT codes for chiropractic maintenance, all treatment procedures should be categorized as maintenance therapy, chronic subluxation, or acute subluxation.<\/p>\n

Chiropractic CPT Codes List<\/strong><\/h2>\n

Here is a list of the other most commonly used CPT codes for chiropractic care<\/span> when billing insurance companies:<\/p>\n

\u2022 CPT Code 99202<\/b> \u2013 Evaluation and Management, Initial Visit
\u2022 CPT Code 99203<\/b> \u2013 Evaluation and Management, Initial Visit
\u2022 CPT Code 99204<\/b> \u2013 Evaluation and Management, Initial Visit
\u2022 CPT Code 99212<\/b> \u2013 Evaluation and Management, Established Patient
\u2022 CPT Code 99213<\/b> \u2013 Evaluation and Management, Established Patient
\u2022 CPT Code 99214<\/b> \u2013 Evaluation and Management, Established Patient
\u2022 CPT Code 97140<\/b> \u2013 Manual Therapy
\u2022 CPT Code 97110<\/b> \u2013 Therapeutic Exercise
\u2022 CPT Code 97750<\/b> \u2013 Physical Performance Examination
\u2022 CPT Code 99211<\/b> \u2013 Re-evaluation
\u2022 CPT Code 97112<\/b> \u2013 Neuromuscular Re-education
\u2022 CPT Code 97530<\/b> \u2013 Therapeutic Activities
\u2022 CPT Code 97012<\/b> \u2013 Mechanical Traction<\/p>\n

Here is a list of the other most commonly used CPT codes for chiropractic evaluation:<\/p>\n

\u2022 CPT Code 99202<\/b> \u2013 Evaluation and Management, Initial Visit
\u2022 CPT Code 99203<\/b> \u2013 Evaluation and Management, Initial Visit
\u2022 CPT Code 99204<\/b> \u2013 Evaluation and Management, Initial Visit
\u2022 CPT Code 99212<\/b> \u2013 Evaluation and Management, Established Patient
\u2022 CPT Code 99213<\/b> \u2013 Evaluation and Management, Established Patient
\u2022 CPT Code 99214<\/b> \u2013 Evaluation and Management, Established Patient
\u2022 CPT Code 99211<\/b> \u2013 Re-evaluation<\/p>\n

Changes for Chiropractic CPT Codes in 2024: What You Need to Know<\/strong><\/h2>\n

In 2024, things are changing in chiropractic care. When chiropractors help patients, they need to make sure their services match the patient’s needs and are medically necessary. This is important for billing correctly.
<\/strong><\/p>\n

Also, only the direct services given directly to patients can be billed. This means if a patient or someone without special training helps, or if a person in the office helps without a licensed provider’s supervision, it won’t be counted as professional therapy.<\/p>\n

2024 code updates are especially important for services like taking care of people in hospitals, and emergencies, talking with other doctors for advice, and helping people in nursing homes.<\/p>\n

So, the way doctors and care teams code things has become simpler, which helps the people who handle billing for chiropractic care.<\/p>\n

These changes are part of 393 edits made to the 2024 chiropractic CPT codes list. This set of chiropractic therapy CPT codes<\/span> describes different medical procedures and services, and it’s always getting better as health technology and medical science improve.<\/p>\n

For chiropractic services, some important CPT codes for chiropractic care<\/span> are 98940-98943. If you’re in charge of billing, here are some things to remember:<\/p>\n