What CPT codes are used for chiropractic billing?

The primary CPT codes for chiropractic care are the Chiropractic Manipulative Treatment (CMT) series, specifically 98940, 98941, and 98942 for spinal adjustments (based on the number of regions treated) and 98943 for extraspinal manipulation. In addition to adjustments, chiropractors often bill for physical medicine modalities, such as 97140 for manual therapy or 97014 for electrical stimulation. Initial exams and re-evaluations are reported using standard Evaluation and Management (E&M) codes like 99203 or 99213. To ensure clean claims, it is critical to append the AT modifier for Medicare and some private payers to verify that the service is active/corrective treatment rather than maintenance care.

Do you support auto accidents or workers’ comp billing?

Yes, we support auto accident (personal injury) and workers’ compensation billing and understand how different these claims are from standard insurance billing. Our team handles PI claims from start to finish, including lien filing, adjuster coordination, and accurate claim submission. We also manage supplemental billing and follow-ups to ensure all services are properly accounted for and paid. Because these cases often involve longer timelines and multiple parties, we actively track claims and communicate with adjusters throughout the process. This helps protect your revenue while reducing administrative burden on your practice.

How do you ensure medical necessity for adjustments?

We help ensure medical necessity by guiding providers on clear, compliant documentation that aligns with payer requirements. Our team provides simple, easy-to-use progress note templates that capture patient response, functional improvement, and the clinical rationale for ongoing adjustments. We also review documentation trends to help identify gaps that could trigger denials or audits. By aligning notes with medical necessity standards, we reduce the risk of rejected claims and post-payment recoupments. This approach supports both compliance and consistent reimbursement.

What about Medi-Cal for chiropractors?

Yes, we handle Medi-Cal billing for chiropractors and understand California’s specific rules for covered chiropractic services. Our team ensures providers are properly enrolled, services are billed using approved codes, and documentation supports medical necessity. We also manage claim tracking and address denials that commonly occur with Medi-Cal chiropractic claims. Because Medi-Cal guidelines and managed care requirements can be strict, we stay current on policy changes to help avoid delays and nonpayment. This allows chiropractors to offer Medi-Cal services with confidence and clarity.

What’s included in your chiropractic billing service?

Our chiropractic billing service is designed to manage the full billing cycle while staying compliant with payer and documentation requirements. We handle credentialing and enrollment, accurate coding, and clean claim submission to reduce denials from the start. If issues arise, we manage denials and appeals, along with payment posting to keep your accounts up to date. We also support auto accident and workers’ comp claims, which often follow different rules than standard insurance billing. Detailed reporting gives you clear visibility into revenue, outstanding claims, and overall financial performance.

Chiropractor Billing Services in California

You adjust spines. We adjust your billing.

Professional Billing Services for Chiropractors

Chiropractors help patients move better, feel better, and live better through adjustments, therapies, and personalized care plans. But the paperwork behind it all? Insurance verifications, detailed progress notes, CPT coding for manipulations, and navigating payer rules can pull you away from what you do best.

Most chiropractors we talk to say the same:

I’m great at adjustments, but billing codes feel like a puzzle I don’t have time for
Denials keep coming back because of ‘medical necessity’ issues
I spend too many evenings chasing claims instead of prepping for tomorrow’s patients
I need someone who gets the chiropractic world to handle this reliably

That’s where Claim N Billing steps in. We specialize in billing for solo practitioners, multi-doctor clinics, and wellness centers ensuring your claims are accurate, compliant, and reimbursed without the hassle.

What Is Chiropractor Billing?

Chiropractor billing covers submitting claims for spinal manipulations, extremity adjustments, evaluations, therapies like ultrasound or electrical stimulation, and follow-up visits using specific CPT codes and detailed documentation to prove medical necessity.

It gets tricky because:

Manipulation codes (98940–98943) require precise session notes on areas treated and patient response
Payers demand strict proof of medical necessity to avoid denials
Auto accident or workers’ comp claims add layers of coordination and forms
Coverage for adjunct therapies varies widely by insurer

We handle the details so your reimbursements come through smoothly and you stay focused on patient adjustments.

Why Chiropractors Choose Claim N Billing

From private practices to those billing auto insurers or Medi-Cal, we understand the unique flow of chiropractic revenue and we make it work for you.

Specialized in chiropractic CPT coding and documentation standards
Full support for credentialing with major payers and Medi-Cal enrollment
We manage claims, follow-ups, and appeals tailored to manipulation services
Clear, monthly reports on your cash flow and denial trends
Dedicated specialist who knows chiropractic workflows inside out
Compliant with HIPAA and California-specific rules for seamless operations

We’re not just billers we’re partners who’ve walked in your shoes, simplifying the business side so you can keep adjusting lives.

Why Chiropractor Billing Services Matter

Chiropractors dedicate their days to hands-on healing, but billing roadblocks can disrupt your practice and income. Here are the top challenges we hear:

Coding errors lead to denials
Manipulation codes need exact documentation—one slip, and claims bounce back.
Medical necessity documentation is exhaustive
Payers scrutinize every note, turning simple adjustments into hours of justification.
Auto and workers’ comp claims drag on
Coordinating with adjusters and third parties delays payments for months.
Admin time steals from patient care
You lose 5–8 hours weekly on verifications, submissions, and appeals.
Unclear revenue tracking stalls growth
Without insights into what’s paid or pending, it’s hard to plan expansions or hire help.

We tackle every one of these, freeing you to focus on what matters most your patients.

The Services We Provide

Claim Submission & Follow-Up

This is where your revenue actually starts moving.

Once care is provided, claims have to be created correctly, submitted on time, and actively followed, not sent out and forgotten. That’s the work we handle every day.

We take responsibility for turning your visits into clean, accurate claims and staying on top of them until there’s a clear response from the payer.

What this includes:

Accurate claim creation and submission
Verification that payer and provider details are correct before submission
Timely filing to avoid avoidable denials
Ongoing claim tracking after submission
Follow-up with payers until claims are processed
Correction and resubmission when issues arise

Denials Management & Appeals

This is where most revenue is quietly lost — and where we’re the most hands-on.

We don’t submit claims and move on. Every claim is tracked, monitored, and followed until there’s a clear outcome.

How we protect your revenue:

Accurate claim creation and submission
Correct CPT, ICD, and modifier usage
Daily tracking and payer follow-up
ERA/EOB posting and reconciliation
Secondary and corrected claims handling
Appeals written and pursued when payment is owed

Prior Authorizations

Most practices don’t realize how much revenue they lose from missing or incorrect authorizations, until it’s too late.

We step in early to prevent those losses.

What we handle:

Identifying services that require authorization
Catching recurring denial patterns tied to auth issues
Submitting and following up on authorizations
Managing appeal documentation when needed
Rebilling and recovery when claims are incorrectly denied

Credentialing

Credentialing isn’t just paperwork — it directly impacts whether you get paid at all.

We handle credentialing with the same attention we give claims, because front-end mistakes cause most downstream denials.

Our role includes:

Appointment Setting

You shouldn’t have to guess how your practice is performing, or where your money stands.

We provide clear visibility into what’s happening, what’s pending, and what needs attention.

You receive insight into:

Monthly Financial Reporting

Billing works best when the entire workflow is connected.

We align scheduling, documentation, and claims so nothing falls through the cracks.

What this supports:

Payment Posting & Reconciliation

Accurate payment posting matters just as much as claim submission.

We make sure payments, adjustments, and write-offs are correctly reflected, so your numbers tell the truth.

This includes:

Our services are designed to support practices at different stages, whether you need help in one area or across your entire billing workflow.

01

Consultation & Account Setup

We dive into your practice flow, codes, and current challenges to create your custom billing setup.

02

Insurance Verification

We confirm patient coverage and chiropractic benefits prior to services.

03

Claim Submission

We prepare and file precise claims with full documentation for manipulations and therapies.

04

Payment Posting

We apply payments, resolve discrepancies, and track outstanding balances.

05

Reporting & Ongoing Support

Monthly breakdowns of your revenue, plus tips to reduce future denials.

Chiropractor Insurance & Medi-Cal Expertise

Chiropractic billing involves navigating strict payer guidelines, from Medicare’s manipulation limits to California’s Medi-Cal chiropractic benefits. Our team keeps you ahead:

Medi-Cal chiropractic enrollment and coverage rules
Medicare documentation for medical necessity
Auto insurer requirements for personal injury claims
Approved CPT/HCPCS codes for adjustments and modalities
State-specific compliance for telehealth evals (when allowed)
Appeal strategies for common denials like frequency caps

We ensure every claim aligns with these rules, maximizing your approvals and reimbursements.

Client Success Stories

Frequently Asked Questions

Ready to Streamline Chiropractic Billing With Confidence?

Let’s review your setup and show you how we can ease the load on your practice.

Your adjustments deserve billing that aligns just as well.