The American Chiropractic Association (ACA) has learned that the Centers for Medicare and Medicaid Services (CMS) will increase the value of Chiropractic Manipulative Treatment (CMT) CPT® codes up to 10 percent in the 2014 Physician Fee Schedule beginning Jan. 1. The change comes after ACA provided CMS-appointed coding committees with key information about the physician-level work involved in the procedures.

The increase in CMT code values is an important step forward for the profession, resulting from ACA’s long campaign to expand and increase the value of chiropractic services in Medicare. It was in late 2012 that ACA representatives presented data from a random profession-wide survey on the physician work inherent in CMT codes 98940, 98941 and 98942 to the American Medical Association’s RVS Update Committee (RUC) Health Care Professionals Advisory Committee Review Board (HCPAC). The RUC-HCPAC subsequently recommended an increase in the Relative Value Units (RVUs) for each of the CMT codes in 2014, which CMS accepted.

 

The new values, outlined below, will be used to calculate the allowable payment for each CPT® code that doctors of chiropractic bill.

 

HCPCS

Code

Long Descriptor

CY 2013

Work

RVU

CY 2014

Work RVU

Percent Increase from 2013

98940

Chiropractic Manipulative Treatment (CMT);

Spinal, 1-2 regions

0.45

0.46

+ 2.2%

98941

Chiropractic Manipulative Treatment (CMT);

Spinal, 3-4 regions

0.65

0.71

+ 9.2%

98942

Chiropractic Manipulative Treatment (CMT);

Spinal, 5 regions

0.87

0.96

+ 10.3%

 

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