Author: CSRA
Effective March 1, 2018, all North Carolina Medicaid and NC Health Choice beneficiaries must be 12 years of age or older to receive chiropractic services.
Beneficiaries with Medicaid for Pregnant Women coverage are eligible for chiropractic services, but prior approval is required.
Chiropractic services are billed with the following procedure codes:
- 98940, Chiropractic manipulation treatment (CMT); spinal, 1-2 regions
- 98941, Chiropractic manipulation treatment (CMT); spinal, 3-4 regions
- 98942, Chiropractic manipulation treatment (CMT); spinal, 5 regions
For more information, refer to Clinical Coverage Policy 1F, Chiropractic Services.
CSRA, 1-800-688-6696