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DMK:
1. If it's Medicare they won't pay for an extremity adjustment.  Spine only. No if's, and's or but's (or wrists or elbows ha ha)

2. Be sure that there is an extremity diagnosis to justify an extremity adjustment.

3. Check the patient's policy.  Many policies only cover adjustment of the spine.

4. You shouldn't need a modifier if it's a covered benefit and you have the appropriate diagnosis.

5. The main thing I see is "not a covered code".

Dina

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