Chiropractic Services – Medical Policy Article

Medicare Part B covers chiropractic services only for manual manipulation of the spine to correct a documented spinal subluxation performed by a licensed chiropractor who meets CMS qualifications, when treatment is reasonable and necessary for an acute, chronic (if functional improvement is expected), or acutely exacerbated neuromusculoskeletal condition. Maintenance therapy, extraspinal manipulations (CPT 98943), diagnostic or therapeutic services furnished by chiropractors other than spinal manipulation, and care performed despite listed absolute contraindications are not covered; claims must include precise subluxation levels, valid ICD‑10 codes, appropriate CMS‑1500 entries, and the AT modifier for active corrective care.

"Chiropractic manipulative treatment (CMT) is covered only when performed by a chiropractor licensed or legally authorized in the State/jurisdiction and who meets CMS minimum qualifying standards."