In simple words: This code covers a chiropractor's hands-on treatment of one or more areas outside the spine, such as the head, arms, legs, ribs, or abdomen, to improve joint movement and function.The chiropractor will assess your condition beforehand.

This CPT code, 98943, reports chiropractic manipulative treatment (CMT) performed on one or more extraspinal regions.Extraspinal regions include the head (excluding the atlanto-occipital joint), upper and lower extremities, rib cage (excluding costovertebral and costotransverse joints), and abdomen. The procedure involves a pre-manipulation patient assessment and may utilize various techniques to influence joint and neurophysiological function.Additional evaluation and management (E/M) services may be reported separately with modifier 25 if clinically significant and distinct from the CMT service.

Example 1: A patient presents with neck pain radiating into the right shoulder.After examination, the chiropractor diagnoses cervical radiculopathy and performs CMT to the cervical spine and right shoulder., A patient complains of lower back pain and right hip pain. Following assessment, the chiropractor finds sacroiliac joint dysfunction and performs CMT to the lumbar spine, sacrum, and right hip., An athlete sustains a rib injury during a sporting event.The chiropractor diagnoses a rib subluxation and performs CMT to the affected rib cage.

Detailed patient history including chief complaint, mechanism of injury (if applicable), and relevant past medical history. Physical examination findings, including range of motion, palpation findings, and neurological assessment. Diagnostic imaging (if performed) and results. Treatment plan including specific techniques used, regions treated, and any other modalities used. Post-treatment assessment of pain and improvement in range of motion.

** Medicare does not cover this code. Always check payer-specific policies for coverage and reimbursement information.