How do the new CMT codes affect the current Medicare coverage policy for chiropractic services?
Other than the fact that the three spinal CMT codes replace A2000 in the Medicare fee schedule, there are no other changes to Medicare reimbursement policy for chiropractic services at this time. The new CMT codes do not in any way change the Medicare Statute, which specifies that Medicare will cover only chiropractic manipulation of the spine for the purpose of correcting a subluxation. The ACA is working towards other changes in Medicare payment policy but these issues have not yet been resolved. Are DCs now required to use the new CMT codes for all payers? A. You will need to use the CMT codes for Medicare patients in 1997. The three spinal CMT codes replace A2000 under the Medicare fee schedule, effective January 1, 1997. However, some carrier medical directors are offering a 30-90 day grace period for the use of the new codes. During the grace period you can use either A2000 or the new CMT codes. Check with your local CMD or state chiropractic association to see if a grace period
