2025 CPT code 98942
Effective Date: N/A Medicine - Chiropractic Manipulative Treatment Procedures Feed
Chiropractic manipulative treatment (CMT); spinal, 5 regions.
Modifier 25 may be used with an E/M code (e.g., 99214-25) when a significant, separately identifiable E/M service is performed on the same day as 98942 and is above and beyond the usual pre- and post-service work associated with CMT. Modifier AT should be used when reporting this code for acute treatment.
Medical necessity for 98942 must be supported by documentation demonstrating the patient's condition and symptoms, such as pain, restricted mobility, or neurophysiological dysfunction, necessitate CMT. The documentation should link the treatment to a specific diagnosis and demonstrate how it will improve the patient's condition.
A qualified chiropractic professional performs the CMT procedure, including patient history, assessment, and treatment. They determine the appropriate treatment approach based on the patient's specific needs and condition.
In simple words: The chiropractor adjusts or manipulates five areas of your spine to improve joint movement and nerve function. This treatment can help with pain, stiffness, and other related problems.
This code represents the application of chiropractic manipulative treatment (CMT) to five spinal regions. CMT involves manual treatment techniques to influence joint and neurophysiological function. The procedure includes a pre-manipulation patient assessment.
Example 1: A patient presents with lower back pain radiating to the legs. The chiropractor diagnoses the patient with lumbar disc herniation and performs CMT on five spinal regions to address the pain, restore mobility, and improve neurophysiological function., A patient experiences neck pain and stiffness after a car accident. The chiropractor performs CMT on five spinal regions, including the cervical spine, to relieve pain, reduce muscle spasms, and restore range of motion., A patient with scoliosis presents with limited spinal mobility and chronic pain. The chiropractor performs CMT on five spinal regions to address joint restrictions, improve spinal alignment, and alleviate pain.
Documentation should include a detailed patient history, examination findings, the diagnosis justifying CMT, the specific spinal regions treated, and the treatment techniques used. Any pre- and post-treatment assessments should also be documented.
- Specialties:Chiropractic
- Place of Service:Office