Will Medicare pay for extraspinal adjustments coded 98943?

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Multiple Choice

Will Medicare pay for extraspinal adjustments coded 98943?

Medicare pays for chiropractic manipulative therapy only when it targets the spine and is medically necessary. The extraspinal adjustment code refers to manipulations outside the spine, and Medicare does not reimburse these. Therefore, extraspinal adjustments coded 98943 are not paid by Medicare. If the service is spinal manipulation and meets coverage criteria, it may be reimbursed under the spinal codes with proper documentation. Private payers can differ, but Medicare excludes extraspinal manipulations.

Medicare pays for chiropractic manipulative therapy only when it targets the spine and is medically necessary. The extraspinal adjustment code refers to manipulations outside the spine, and Medicare does not reimburse these. Therefore, extraspinal adjustments coded 98943 are not paid by Medicare. If the service is spinal manipulation and meets coverage criteria, it may be reimbursed under the spinal codes with proper documentation. Private payers can differ, but Medicare excludes extraspinal manipulations.

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