CPT® code 98941 is used to report chiropractic manipulative treatment (CMT) involving three to four spinal regions. This service is commonly provided by chiropractors to address neuromusculoskeletal complaints such as pain, restricted mobility, or dysfunction resulting from subluxations or joint misalignments.
Key facts about CPT® Code 98941
- Service type: Chiropractic Manipulative Treatment (CMT)
- Spinal regions involved: 3–4 (e.g., cervical, thoracic, lumbar, sacral, pelvic)
- Typical use case: Moderate to complex spinal complaints requiring manual adjustment across multiple areas
- Provider type: Chiropractors (DCs) or other qualified healthcare professionals with appropriate licensure and training in spinal manipulation
Description of the procedure
CPT® 98941 represents the application of high-velocity, low-amplitude thrusts or similar manual techniques to three to four distinct spinal regions. These regions are typically selected based on:
- Clinical exam findings (e.g., range of motion restrictions, palpation, orthopedic testing)
- Patient-reported symptoms (e.g., mid-back pain radiating to the neck and shoulders)
- Functional limitations or subluxation diagnosis
The treatment aims to restore joint mobility, reduce pain and inflammation, and improve overall spinal function.
Clinical scenarios and common conditions
Chiropractors often use CPT® 98941 for patients presenting with:
- Multiregional pain, such as low back and neck pain together
- Sciatica or radiculopathy involving lumbar and sacral regions
- Headaches and upper thoracic tension connected to cervical issues
- Postural dysfunction or spinal misalignment
- Acute injuries or chronic musculoskeletal conditions affecting multiple spinal segments
Medical necessity and documentation
To justify CPT® 98941, the provider must document the medical necessity of treating each of the three to four spinal regions. Documentation should include:
- A clear diagnosis of subluxation or segmental dysfunction in each treated region
- Objective findings on exam (e.g., decreased mobility, muscle spasms, tenderness)
- A treatment plan outlining goals, frequency, and expected outcomes
- Progress notes showing response to prior treatments
Some payers may also require the use of ICD-10 codes specific to each region treated.
Medicare and payer considerations
Under Medicare, chiropractic services are limited to active treatment of spinal subluxation using manual manipulation. Maintenance care is not reimbursed. CPT® 98941 must be paired with modifier AT (Active Treatment) when appropriate. Commercial payers may have broader coverage but often require detailed charting and justification for each region addressed.
How OptiMantra supports billing for 98941
OptiMantra’s integrated EMR and practice management system simplifies documentation and billing for CPT® 98941. With features designed for chiropractors and integrative clinics, the platform:
- Enables region-specific charting to support compliant coding
- Includes customizable SOAP templates for multi-region spinal exams
- Lets you easily track subluxation diagnoses and link them to each visit
- Integrates ICD-10 coding tools and documentation prompts for medical necessity
- Automates claim generation with the proper CPT® codes and modifiers
Whether you’re a solo chiropractor or part of a multidisciplinary clinic, OptiMantra helps ensure accurate reimbursement for each CMT visit—while streamlining your daily workflow.
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