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This document provides detailed billing guidelines for Chiropractors and Portable X-Ray Suppliers under the New York State Medicaid Program, including claim submission methods, remittance advice,

How to fill out chiropractor and portable x-ray

How to fill out Chiropractor and Portable X-Ray Billing Guidelines

1. Gather all necessary patient information, including demographics and insurance details.
2. Obtain a detailed description of the chiropractic services provided.
3. For portable X-Ray services, ensure that the patient's medical history and referral information is documented.
4. Fill out the billing form using the correct CPT codes for the chiropractic adjustments and portable X-Ray procedures.
5. Include the appropriate diagnosis codes that relate to the services rendered.
6. Double-check the billing form for accuracy, ensuring all fields are completed and codes are correct.
7. Submit the completed billing form to the insurance provider according to their submission guidelines.
8. Keep a copy of the submitted billing for record-keeping and follow up on any claims if necessary.

Who needs Chiropractor and Portable X-Ray Billing Guidelines?

1. Chiropractors who provide services requiring insurance reimbursement.
2. Medical facilities offering portable X-Ray services to ensure proper billing.
3. Billing specialists and administrative staff managing patient claims.
4. Patients seeking coverage for chiropractic and portable X-Ray treatments.

People Also Ask about

Are chiropractors supposed to take x-rays?

While x-rays are not always necessary, sometimes they can provide valuable information that the chiropractor uses to more accurately diagnose your condition and design an appropriate treatment plan for you.

What is CPT code 98943 for chiropractic billing?

What is the CPT Code 98943? CPT code 98943 is used to bill for chiropractic manipulative therapy (CMT) that extends beyond the spine, such as hands, legs, feet, etc.

Why do chiropractors use x-rays?

It helps chiropractors see the alignment of your spine and bones in your neck and head. This information helps them plan your treatment. An upper cervical subluxation can create so much harm to the function of your nervous system and therefore your health.

Can you get a chiropractic adjustment without an x-ray?

Many chiropractors adjust patients without the preliminary step of taking X-rays. The decision to utilize X-ray imaging is based on a combination of factors, including the chiropractor's assessment of the patient's presenting condition, their medical history, and any notable symptoms.

What can chiropractors bill for?

As a chiropractor, understanding billing nuances is crucial for compliance and reimbursement optimization. Two key CPT codes commonly used in chiropractic billing — 97110 for therapeutic exercises and 97530 for therapeutic activities — play a significant role in your practice's financial health.

Are chiropractic x-rays legit?

On the FDA's website you will see they state, “Don't refuse an X-ray. The risk of not having a needed X-ray is greater than the small risk of radiation.” Keep this in mind if your practitioner is suggesting a much needed X-ray for your health. A chiropractic x-ray and any other type of x-ray denotes no difference.

What modifiers are used for chiropractic billing?

Modifiers in Chiropractic Medical Billing: Modifier 25. Modifier 25 is utilized to show that this is an important, independently recognizable evaluation and management (E/M) service by the same physician on the same day. GA Modifier. GY Modifier. Modifier 59. X-set Modifiers. The Active Treatment (AT) Modifier.

Is it normal for a chiropractor to not take x-rays?

With most forms of general musculoskeletal back or neck pain, an x-ray will not be needed to guide the course of treatment. Because x-rays expose patients to radiation, unless there is a valid reason to have the x-ray, it is best to avoid it.

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What is Chiropractor and Portable X-Ray Billing Guidelines?

Chiropractor and Portable X-Ray Billing Guidelines are sets of standards and procedures established for healthcare providers to properly bill and receive reimbursement for chiropractic services and portable X-ray services conducted on patients.

Who is required to file Chiropractor and Portable X-Ray Billing Guidelines?

Healthcare providers, including chiropractors and organizations that offer portable X-Ray services, are required to file these guidelines to ensure accurate billing and compliance with insurance and regulatory standards.

How to fill out Chiropractor and Portable X-Ray Billing Guidelines?

To fill out the guidelines, providers must include necessary patient information, treatment details, procedure codes, and any relevant documentation required by insurance companies or regulatory bodies.

What is the purpose of Chiropractor and Portable X-Ray Billing Guidelines?

The purpose is to establish consistent billing practices, enhance the accuracy of claims, ensure compliance with regulations, and facilitate timely reimbursements for services provided.

What information must be reported on Chiropractor and Portable X-Ray Billing Guidelines?

Essential information includes patient demographics, provider details, service dates, procedure codes (CPT/HCPCS), diagnostic codes (ICD), and any necessary documentation that supports the services rendered.