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See a sample rate comparisonCPT 98940 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Chiropractic Adjustment, Chiropractic Services To Treat One To Five Areas Of The Spine. The Areas Are Moved Gently To Encourage The Body To Realign Itself.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Chiropractic Manipulative Treatment Procedures |
| Common Place of Service | 11 - Office 50 - Federally Qualified Health Center |
| Common Modifiers | AT - Acute or Active Treatment GA - Required ABN issued and on file |
| Complexity Level | Low |
| Medicare Fee Schedule | $26.72 national non-facility rate (2026) · View Medicare rates for 98940 |
| Medicaid Fee Schedule | $22.09 median of the 8 states in the free preview · View Medicaid rates for 98940 |
National average reimbursement for CPT 98940 by major payers:
$25.23
$31.34
$27.33
$37.61
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CPT 98940
5 of 25 sample ratesHigher to lower in this preview
Julie Passon
$59.08Published rateJulie Webster
Musc Community Physicians
$30.38Published rateHenry Flemming
Montgomery Cardiovascular Associates, P.C.
$28.87Published rateJulie Webster
Musc Community Physicians
$24.62Published rateDonald Rhodes
Auburn Cardiovascular, PC
$11.59Published rate
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See a sample payer proposalCPT 98940 vs. Other Chiropractic Manipulative Treatment Procedures Codes
The CPT 98940 code is part of the Medicine Services and Procedures services used for Chiropractic Manipulative Treatment Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 98940 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 98940-CPT | Low | Chiropractic Adjustment, Chiropractic Services To Treat One To Five Areas Of The Spine. The Areas Are Moved Gently To Encourage The Body To Realign Itself. |
| 98941-CPT | Low | Chiropractic Manipulative Trea, Chiropractic Manipulative Treatment (Cmt) Spinalthree To Four Regions Chiropractic Manipulative Treatment (Cmt) Spinal Three To |
| 98942-CPT | Low | Chiropractic Adjustment, Chiropractic Services To Treat One To Five Areas Of The Spine. The Areas Are Moved Gently To Encourage The Body To Realign Itself. |
| 98943-CPT | Low | Chiropractic Manipulative Trea, Chiropractic Manipulative Treatment (Cmt) Extraspinal One Or More Regions Chiropractic Manipulative Treatment (Cmt) Extraspinal One |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 98940. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 98940 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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