This means that anything performed by the chiropractor, other than the spinal manipulation, won't be paid by the patient's insurance company. Manual manipulation Only services referred to as manual manipulation are covered by insurance. More specifically, this is limited to the use of hands to correct a subluxation of the spine. In other words, the chiropractor uses his hands to help realign the patient's spinal column. Manual devices which provide an additional thrust or force are also allowed as part of the covered definition of manual manipulation. Even though they're allowed, CMS doesn't allow an additional payment for the use of the device. Sometimes, the word correction is used in place of treatment. Both are covered if they're part of the manual manipulation. Here are some other terms that indicate manual manipulation: Spinal adjustment by manual means Spinal manipulation Adjusted manually Vertebral manipulation/adjustment Subluxation To understand how to bill chiropractic medical billing claims, you have to understand the vocabulary.
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