Change in Age Requirement for Chiropractic Services

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.