Leading Chiropractic Billing Company in the USA for Chiropractors
With more than a decade of hands-on experience supporting chiropractic practices across the United States, our certified chiropractic medical billers understand the precise documentation, coding rules, and payer requirements that directly impact reimbursement in the U.S. healthcare system. As a specialized chiropractic billing company in the USA, we manage insurance verification, compliant CPT/ICD-10 coding, clean-claim submission, and denial resolution with accuracy aligned to American chiropractic regulations. Our CPC/CPB-certified team stays current with CMS chiropractic guidelines, Medicare subluxation policies, therapy bundling rules, and state-specific payer updates—ensuring U.S. chiropractors receive faster, compliant, audit-ready reimbursements.
Why Chiropractors Across the USA Choose MedStates as Their Chiropractic Billing Company
Chiropractors want a billing partner that understands the clinical language, documentation patterns, and payer rules unique to chiropractic care—not a generic billing vendor. MedStates was built specifically to support chiropractic and musculoskeletal practices across the United States, combining CPC/CPB-certified billing expertise with deep knowledge of spinal manipulation coding, therapy bundling rules, chiropractic medical necessity, and Medicare subluxation requirements.
Our team specializes in the billing workflows that directly affect chiropractic reimbursement, including modifier AT usage, therapy code pairing, pre-authorization management, and payer-specific chiropractic limitations. We proactively monitor claims, correct documentation gaps, and apply state-level compliance rules so providers can stay focused on patient care without worrying about revenue loss.
Whether you operate a solo chiropractic office or manage a multi-location therapy practice, MedStates adapts to your workflow, payer mix, and treatment model. Chiropractors choose us because we deliver predictable reimbursement, real-time reporting, and hands-on support from billing experts who understand how chiropractic claims truly work in the U.S. healthcare system
Our Chiropractic Billing Process
Our chiropractic billing process is designed specifically around the reimbursement rules and documentation standards that apply to U.S. chiropractors. Every stage—from insurance verification and charge capture to clean-claim submission and denial resolution—is supported by certified billing experts who understand chiropractic coding, subluxation requirements, therapy bundling, and payer-specific limitations.
Using advanced billing software and strict CMS-aligned audit checks, we verify patient benefits, ensure CPT/ICD-10 accuracy, flag mismatched chiropractic codes, and submit fully compliant claims through secure EDI channels. This structured workflow not only minimizes rejections but also accelerates payment turnaround, improves first-pass acceptance rates, and protects your practice from costly documentation errors. With MedStates, chiropractors receive a billing process built for consistency, transparency, and measurable revenue improvemen
Credentialing and Payer Enrollment for Chiropractic Providers
We manage complete credentialing and payer enrollment for chiropractors with Medicare, Medicaid, and commercial insurance networks across the United States. Our team prepares and submits all documents, handles contract negotiations, updates CAQH, and ensures your NPI, taxonomy, and scope of practice align with chiropractic payer requirements. By setting up clean, accurate enrollments from the start, chiropractors avoid enrollment delays, reimbursement interruptions, and credentialing-related claim denials.
Insurance Verification and Chiropractic Benefits Review
Before every visit, we verify chiropractic benefits, coverage limitations, therapy allowances, and pre-authorization requirements directly with each payer. Our verification process checks annual visit limits, subluxation coverage under Medicare, therapy caps, deductible status, and copay obligations so chiropractors can communicate patient responsibility upfront. This reduces financial surprises, eliminates eligibility-based denials, and ensures smoother patient check-ins.
Chiropractic Documentation Review and Accurate CPT/ICD-10 Coding
Our CPC/CPB-certified billers review your documentation to ensure every CPT and ICD-10 code matches payer policy and chiropractic medical necessity standards. We specialize in chiropractic-specific codes—including 98940–98942 (spinal manipulation), therapeutic exercise, manual therapy, supervised modalities, supervised/constant attendance therapy—and ensure proper use of modifier AT, GP, and 25 when required.
Clean Electronic Claim Submission Through EDI
Once documentation and coding are verified, we submit each chiropractic claim electronically through secure EDI channels. Our system runs real-time validation checks to flag incomplete data, incorrect payer IDs, invalid CPT-ICD pairings, or missing chiropractic modifiers. Submitting clean, error-free claims on the first attempt significantly reduces rejections and speeds up reimbursement for chiropractic practices.
Proactive Claim Tracking and Chiropractic Denial Management
We monitor every chiropractic claim after submission, tracking acknowledgments, insurer responses, and payment timelines. When a denial occurs, our team performs a root-cause analysis—whether it’s documentation inconsistencies, missing AT modifier, bundling conflicts, or non-covered chiropractic therapy—and corrects and resubmits the claim promptly. This ensures faster recovery of denied revenue and improved overall reimbursement performance.
Complete Revenue Cycle Management for Chiropractic Practices
We support chiropractors through every revenue stage—eligibility, coding, charge capture, posting, AR follow-up, and month-end reconciliation. We apply payer-specific chiropractic rules, track denial patterns, reduce AR days, and ensure claims remain compliant with CMS and private-payer chiropractic policies. Chiropractors partnering with MedStates gain predictable cash flow and a financial workflow for long-term practice stability.
Seamless EHR Integration for Chiropractic Workflows
We integrate leading EHR and practice management systems used by chiropractors, including ChiroTouch, Jane, SimplePractice and AdvancedMD. Our automation syncs patient demographics, charge entries, documentation, and claim statuses in real time—eliminating duplicate data entry and reducing administrative workload. This ensures fast, accurate transfers from clinical notes to billing, with fewer manual errors.
Transparent Chiropractic Billing Reports and Financial Insights
We provide detailed monthly reports that track chiropractic reimbursement trends, payer lag times, AR aging, denial categories, and revenue opportunities. These insights help chiropractors make informed business decisions, improve documentation, adjust coding patterns, and increase profitability. With complete visibility into financial performance, practices gain the clarity needed to scale confidently.
Chiropractic CPT and ICD-10 Coding for Accurate Insurance Reimbursement
Correct coding is the foundation of a clean claim. Each payer—whether Medicare, Medicaid, or commercial insurers—follows specific rules for spinal manipulation, therapeutic services, modalities, and medical necessity. Our team reviews your documentation and assigns the codes that best reflect the treatment performed, ensuring they align with CMS policies, state-specific chiropractic regulations, and payer-defined clinical requirements.
Below are the most commonly used codes in chiropractic practices across the United States. This list helps providers understand how certain treatments translate into procedural and diagnostic codes and why clear documentation matters during audits or medical reviews
CPT Codes Used by Our Chiropractic Billing Company
Below are some of the most frequently billed chiropractic and physical therapy procedure codes that our team handles daily. These codes support a range of spinal and musculoskeletal treatments:
| Procedure | CPT Code | Description |
|---|---|---|
| Spinal manipulation (1–2 regions) | CPT 98940 | Chiropractic adjustment of one or two spinal regions |
| Spinal manipulation (3–4 regions) | CPT 98941 | Adjustment for multiple spinal regions |
| Spinal manipulation (5 or more regions) | CPT 98942 | Complex spinal adjustment session |
| Therapeutic exercise | CPT 97110 | Exercise for strength, endurance, or flexibility improvement |
| Manual therapy techniques | CPT 97140 | Soft tissue and joint mobilization performed manually |
| Electrical stimulation (manual) | CPT 97032 | Neuromuscular re-education and stimulation |
| Ultrasound therapy | CPT 97035 | Therapeutic ultrasound for pain management and tissue repair |
Many chiropractic clinics also provide physical therapy and rehabilitation services. To ensure accurate claim submissions and compliance, it’s essential to understand the CPT codes for physical therapy that often overlap with chiropractic billing.
When billing time-based therapeutic procedures, chiropractors must follow CMS’s 8 minute rule in therapy billing to avoid underbilling or claim rejections
ICD-10 Codes for Chiropractic Billing Services
Accurate diagnosis coding supports the CPT procedures above and validates medical necessity. Our billers ensure every ICD-10 code reflects the patient’s clinical presentation and is aligned with payer guidelines.
| Condition | ICD-10 Code | Description |
|---|---|---|
| Low back pain | ICD M54.5 | Lumbar spine pain, common in adjustment sessions |
| Neck pain | ICD M54.2 | Cervicalgia, stiffness, or upper spine pain |
| Thoracic spine dysfunction | ICD M99.02 | Segmental or vertebral dysfunction in the thoracic region |
| Cervical subluxation | ICD M99.01 | Vertebral subluxation complex, cervical spine |
| Lumbosacral dysfunction | ICD M99.03 | Mechanical issues in the lumbosacral area |
We help chiropractors link CPT and ICD-10 codes properly—avoiding mismatched claim pairs that frequently cause rejections.
🔹 Documentation Requirements That Affect Chiropractor's Reimbursement
To ensure payment from U.S. payers, documentation must demonstrate:
Identifiable subluxation (Medicare requirement)
Initial exam and treatment plan
Region-specific findings (pain, ROM limitations, functional deficits)
Ongoing progress toward measurable goals
Clear connection between diagnosis and treatment performed
Our team ensures your notes support each service, prevent mismatched CPT-ICD pairings, and meet payer expectations for chiropractic medical necessity.
Why Outsourcing Chiropractic Billing Services Improves Profitability
Outsourcing chiropractic billing offers far more than administrative relief—it directly strengthens a clinic’s financial performance. When billing is handled in-house, claims often sit unworked, denials stack up, and staff get pulled away from patient care. Partnering with a specialized medical billing company for chiropractors give your practice access to certified billers who understand payer rules, modifier requirements, therapy billing nuances, and Medicare chiropractic policies. With consistent follow-up, cleaner claims, and real-time reporting, chiropractors gain predictable cash flow, fewer write-offs, and a streamlined revenue cycle. At MedStates, we function like an extension of your clinic—combining expertise, automation, and compliance oversight to help your practice retain more of the revenue it earns.
Nationwide Chiropractic Medical Billing Company
Chiropractic practices vary from state to state, and so do payer rules, modifier requirements, and documentation standards. At MedStates, we serve chiropractic providers across all 50 states—offering billing expertise that aligns with regional payer policies, therapy coverage limits, and local insurance regulations. Our nationwide billing company is designed to handle every chiropractic specialization, from pain management and corrective care to sports, wellness, and pediatric chiropractic practices.
Comprehensive Billing Coverage for All Chiropractic Specialties
MedStates supports a diverse range of chiropractic services, ensuring each practice type receives tailored billing solutions:
💡 Each specialty type requires unique coding, modifiers, and payer documentation. MedStates ensures compliance with both national chiropractic billing guidelines and state-level payer variations to minimize denials and accelerate reimbursements.
State-Specific Chiropractic Billing Expertise
Our team stays up to date on state-level chiropractic insurance policies and payer-specific rules. Whether your clinic is in California, Texas, New York, or Florida, we adapt your billing workflow to local payer requirements, including:
- Medi-Cal and Medicaid chiropractic billing for state-funded programs.
- Blue Cross and Cigna chiropractic coverage variations.
- Regional Medicare chiropractic guidelines for spinal manipulation and therapy visits.
Seamless Integration for Multi-Location Chiropractic Clinics
For group practices and multi-state chiropractic organizations, MedStates offers centralized billing management with flexible reporting by clinic or region. Our systems consolidate billing for multiple locations—making it easier to track performance and compliance under one secure platform. We also integrate with your existing EHR or practice management system, syncing patient visits, therapy notes, and payment data automatically.
Compliance and Documentation Alignment Across States
State-level chiropractic regulations and payer requirements often differ for covered services, modifier use, and medical necessity documentation. Our compliance team monitors payer bulletins and regulatory updates to ensure your clinic remains audit-ready at all times. From Medicare chiropractic coverage restrictions to commercial therapy bundling policies, we make sure your documentation meets every standard.
Serving Chiropractors With Medical Billing and Coding Services Nationwide
Managing chiropractic billing shouldn’t drain your time or slow down your revenue. MedStates helps chiropractors streamline every step of the claim cycle—from accurate coding and clean claim submission to denial resolution and timely payment posting. With certified billers, automated workflows, and payer-specific expertise, we remove the complexity from insurance billing so you can stay focused on patient care.
Partner with Certified Chiropractic Billers Who Understand Your Practice
When you work with MedStates, you are not just outsourcing chiropractic medical billing — you are partnering with a trusted billing company for chiropractors nationwide. Our team brings:
- Deep experience in chiropractic and therapy reimbursement
- State-specific payer expertise
- Transparent monthly reports and analytics
- Proven track record of improving collection rates and reducing denials
Start Improving Reimbursements Today
Let us help you simplify your chiropractic billing, reduce claim denials, and accelerate payments. Schedule a quick consultation to learn how MedStates can help you improve revenue while staying fully compliant with payer and HIPAA standards. Request a Free Consultation with a Certified Chiropractic Billing Expert
