Chiropractic billing
Chiropractic billing services
Billing for chiropractic clinics, including Medicare’s active-treatment rules, manipulation codes by spinal region and the documentation payers expect. Clean claims for adjustments and therapies alike.
Prefer to talk? Call (817) 396-6663
- Spinal regions coded right
- AT, GA & GZ modifiers
- Medicare documentation

Why chiropractic is different
Medicare only pays for one thing, and it’s specific
Medicare covers chiropractic manipulation of the spine to correct a subluxation, and very little else a chiropractor provides. Claims need the right number of spinal regions, the AT modifier for active treatment, and documentation that supports both.
Maintenance care isn’t covered by Medicare, so patients need an Advance Beneficiary Notice before those visits and the right modifier on the claim. Get the paperwork wrong and you can’t bill the patient either.
Commercial plans add visit limits, therapy rules and their own documentation expectations. We set up your billing to handle each of them.
Where revenue gets stuck
Common chiropractic billing problems
Region counts
Manipulation code matched to the number of regions documented: 98940, 98941 or 98942.
AT modifier
Active treatment marked correctly for Medicare, and maintenance care identified.
ABNs
Advance Beneficiary Notices on file before non-covered services.
Therapies
Exercise, manual therapy and other services billed with correct units and modifiers.
Visit limits
Commercial visit limits and authorizations tracked.
Documentation
Notes reviewed for what Medicare expects of a subluxation visit.
For chiropractic clinics
Adjustments and therapies, billed properly
We check each claim against the patient’s coverage and your documentation before it goes out.
- Spinal and extraspinal manipulation coded by region
- AT, GA, GZ and GP modifiers applied correctly
- ABN workflow for Medicare maintenance care
- Personal-injury and auto claims supported where you accept them
The Cure MB difference
What changes for your chiropractic practice
Cleaner claims
Codes, modifiers and payer rules for chiropractic checked before every submission.
Denials worked, not written off
Each denial is read, corrected or appealed, and the cause tracked.
Stronger collections
Aging claims followed by phone and portal until they’re paid or closed with a reason.
Reports you can read
A monthly view of collections, denials and A/R for your chiropractic practice.
Client stories
What practices say about working with us
Physical therapy
I’m a clinician, not a biller. They understand timed codes and plan-of-care rules, they answer email the same day, and for the first time I actually understand my A/R report.
Megan Carlisle, PT, DPTClinic owner · Denver, CO
Family medicine
Most of our patients are on Medicare or Medicaid, and the paperwork rules change constantly. Cure MB catches eligibility problems before the visit, and my front desk stopped fielding angry statement calls.
Dr. Daniel OkaforFamily physician, four-provider practice · Columbus, OH
Urgent care
High volume means small errors multiply fast. Claims go out clean, and underpayments get flagged instead of quietly written off.
Dr. Marcus HillMedical director · Phoenix, AZ
Editing note (hidden on the live site): these six testimonials are SAMPLES that show the finished design. To publish a real one, edit the quote, name, role and city, then delete the classes cmb-placeholder and cmb-sample (Block → Advanced → Additional CSS class). Delete any sample you do not replace. The whole section stays hidden on the live site until at least one real testimonial is in.
Free consultation, no obligation
Running a chiropractic practice? Let’s talk numbers.
Tell us how billing works today. We’ll show you what we’d fix first and what it would cost.

Services for chiropractic
Everything your practice needs
Medical billing & codingEligibility verificationDenial managementA/R follow-upInsurance credentialingPayment postingRevenue cycle management
FAQ
Chiropractic billing questions
Short answers to what practices ask us most.
What does the AT modifier mean?
AT tells Medicare the manipulation is active or corrective treatment. Without it, Medicare treats the visit as maintenance care, which it doesn’t cover.
Can we bill Medicare patients for maintenance care?
Yes, if the patient signed an Advance Beneficiary Notice beforehand and the claim carries the right modifier. Without an ABN you usually can’t bill the patient.
Which manipulation code should we use?
98940 for one or two spinal regions, 98941 for three or four, and 98942 for five. Extraspinal manipulation is billed with 98943. The regions must be documented.
Other specialties
Billing for other specialties
Mental & Behavioral HealthPsychiatryTherapy & CounselingPsychologyPhysical TherapyAcupunctureUrgent CareWound CareInternal Medicine & Primary CareAll specialties
Talk to a billing specialist
Talk to a specialist about chiropractic billing
Tell us what is happening with your billing. A specialist who works this area every day will reply within one business day.
- Call(817) 396-6663
- Emailsupport@curemb.com
- WhatsAppMessage us on WhatsApp
Book Your Free Consultation
Takes under a minute.
We reply within one business day. No patient information, please.
