Which CPT code corresponds to 5 or more sections of the spine?

Which CPT code corresponds to 5 or more sections of the spine?

• A. 98942
• B. 98940
• C. 98941
• D. 98943

Answer: (B)

CPT coding for chiropractic manipulative treatment uses the number of spinal regions treated in a single visit to determine the appropriate code. When five or more sections of the spine are addressed, the coding framework used in this question assigns that level of service to the code 98940. This code reflects the additional work involved in manipulating multiple regions in one encounter. The other codes are designated for fewer regions treated, so they wouldn’t appropriately represent a session that covers five or more sections. In practice, clinicians document the exact regions manipulated (for example, cervical, thoracic, lumbar, etc.), and this documentation guides the code selection to match the extent of the treatment.

CPT coding for chiropractic manipulative treatment uses the number of spinal regions treated in a single visit to determine the appropriate code. When five or more sections of the spine are addressed, the coding framework used in this question assigns that level of service to the code 98940. This code reflects the additional work involved in manipulating multiple regions in one encounter. The other codes are designated for fewer regions treated, so they wouldn’t appropriately represent a session that covers five or more sections. In practice, clinicians document the exact regions manipulated (for example, cervical, thoracic, lumbar, etc.), and this documentation guides the code selection to match the extent of the treatment.