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Medicare 98940 & 98941 & 98943

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corriejo:
Does anyone out there know if it's legal to bill (primarily for Medicare), a 98941 that includes 2 spinal regions and one extremity; since they don't pay for the 98943??

Thanks!

Michele:
The description of the 98941 code is spinal manipulation 3-4 regions, which means the adjustment has to be done on the spine, not an extremity, by definition.  I would not think you could count an extremity as one of the 3-4 regions.

Sorry! :( 

Michele

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