Chiropractic
Chiropractic Medical Billing Services
Specialized Billing for Chiropractic Practices
Chiropractic care focuses on diagnosing and treating neuromusculoskeletal conditions through spinal adjustments, manipulations, and supportive therapies. While chiropractic services are in high demand, billing for them can be complex due to payer limitations, frequent documentation requirements, and the use of multiple modifiers. At Apple Med Billing, we provide specialized chiropractic billing solutions to maximize reimbursements and reduce administrative stress for your practice.
Why Chiropractic Billing is Challenging
Chiropractic billing has unique complexities that require specialized expertise:
Limited Insurance Coverage
Many payers restrict the number of visits or only cover certain chiropractic services.
Medical Necessity Requirements
Detailed treatment plans, progress notes, and outcome documentation are often required for payment.
Multiple Modifiers
Modifiers like AT, GP, and 59 must be applied correctly to avoid denials.
Time-Based Services
Some chiropractic therapies use timed CPT codes, requiring accurate tracking.
High Claim Denial Rates
Payers frequently deny chiropractic claims due to lack of documentation or improper coding.
Coordination with Other Services
Chiropractic care often overlaps with physical therapy, requiring clear coding distinctions.
Common Chiropractic Services We Handle
Our billing specialists at Apple Med Billing are skilled in handling a wide range of chiropractic services, including:
Spinal adjustments and manipulations
Extremity adjustments
Soft tissue therapy and manual therapy techniques
Electrical stimulation therapy
Heat and cold therapy
Ultrasound therapy
Lifestyle and wellness counseling
Maintenance care (with proper documentation for payer compliance)
Common CPT Codes in Chiropractic Billing
We ensure accurate coding and billing for chiropractic practices with the most common CPT codes, including:
Spinal Manipulation:
98940 (1–2 regions), 98941 (3–4 regions), 98942 (5 regions)
Extremity Manipulation:
98943
Therapeutic Procedures:
97110 (Therapeutic exercise), 97140 (Manual therapy), 97530 (Therapeutic activities)
Modalities (Supervised):
97010 (Hot/cold packs), 97014 (Electrical stimulation – unattended)
Modalities (Constant Attendance):
97032 (Electrical stimulation – manual), 97035 (Ultrasound therapy)
Modifiers:
AT (Active treatment), GP (Services delivered under therapy plan of care), 59 (Distinct procedural service)
Key Benefits of Choosing Apple Med Billing
Frequently Asked Questions
Partner With Us
At Apple Med Billing, we take care of your billing while you focus on patient care. Our solutions are designed for practices of all sizes — ensuring accuracy, faster payments, and less paperwork.