What is CPT Code 98940?: Understanding Spinal CMT






What is CPT Code 98940?: Understanding Spinal CMT

CPT code 98940 refers to a chiropractic procedure where the chiropractor adjusts the spinal joints in one or two areas of the back.

Procedure Explanation:

This procedure involves a chiropractor applying manual force to specific parts of the back to relieve pain or improve function. It specifically targets one or two areas of the spine. It does not cover additional areas or non-spinal manipulations.

Common Names:

  1. Chiropractic Adjustment
  2. Spinal Manipulation
  3. Spinal CMT

Relative Value Units (RVU):

The RVUs associated with this code are 0.46.

How This Procedure Appears:

  • Operating Room Schedule Name: Spinal CMT for 1-2 Regions
  • Surgical Consent Form Name: Chiropractic Spinal Adjustment

Typical Patients and Diagnoses:

This procedure is commonly used for patients experiencing back pain or stiffness. It’s often recommended for individuals with conditions such as lower back pain due to sitting for long periods or minor sports injuries. It is not uncommon for people recovering from car accidents or suffering from certain types of headaches to seek this treatment.

Associated ICD-10 Codes:

  • M54.5: This code represents low back pain.
  • M99.01: This code signifies segmental and somatic dysfunction of the cervical region, which refers to issues in the neck area.
  • M99.03: This code is used for segmental and somatic dysfunction in the lumbar region, indicating trouble in the lower back.

Summary

In summary, code 98940 describes a chiropractic process where one or two regions of the spine are adjusted. Typical ICD-10 codes associated with 98940 include M54.5 (low back pain) and M99.01 (cervical region dysfunction).


Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.


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