CPT Code Lookup Tool
Use this free CPT Lookup Tool to search for Current Procedural Terminology (CPT) codes, descriptions, and related details — designed to help streamline and simplify your medical billing process.
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Office or other outpatient visit
Evaluation and management of an established patient...
Information
This code is for use in medical billing and coding.
Information
This code is part of the section of CPT codes.
Office or other outpatient visit for the evaluation and management...
Note
This description reflects the 2021 E/M coding guidelines.
Information
codes are used to report evaluation and management services provided in various settings.
Information
RVUs are used to determine the fee for a service under the Medicare Physician Fee Schedule.
Information
This code is commonly used by primary care providers, but may be used by any specialty providing office visits.
Significant, separately identifiable E/M service
Information
Modifiers provide additional information about the service provided.
Detail About CPT 98943
Related Codes Table
| Code | Description |
|---|---|
| 98940 | Chiropractic manipulative treatment (CMT); spinal, 1-2 regions |
| 98941 | CMT; spinal, 3-4 regions |
| 98942 | CMT; spinal, 5 regions |
| 98944 | CMT; extraspinal, 1 region |
| 98945 | CMT; extremity, 1 or more regions |
Commonly Billed With
CPT code 97140 for manual therapy is commonly billed with CPT code 98943.
Clinical Scenarios
Scenario 1: Treatment of Shoulder Pain
A patient presents with shoulder pain and receives extraspinal chiropractic manipulative treatment using CPT code 98943.
Scenario 2: Management of Hip Discomfort
A patient seeks chiropractic care for hip discomfort and undergoes extraspinal manipulation covered by CPT code 98943.
Scenario 3: Addressing Elbow Issues
An individual with elbow issues undergoes chiropractic manipulative treatment on the affected area with CPT code 98943.
FAQs
Can CPT code 98943 be used for spinal manipulation?
No, CPT code 98943 specifically refers to extraspinal chiropractic manipulative treatment.
How many regions are covered under CPT code 98943?
CPT code 98943 covers manipulation in one or more extraspinal regions.
Is CPT code 98943 limited to a specific body part?
No, CPT code 98943 can be used for manipulative treatment in various extraspinal regions.
Can CPT code 98943 be reported alongside other chiropractic codes?
Yes, CPT code 98943 can be reported along with other chiropractic codes as appropriate for the services provided.
Is prior authorization required for billing CPT code 98943?
Prior authorization requirements may vary by insurance carrier, so it's advisable to check with the specific payer.
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