Chiropractic Coding Guide 2025

What Are Chiropractic CPT Codes?

CPT stands for Current Procedural Terminology, a universal system used to describe medical, diagnostic, and therapeutic services. These codes act as a shared language between providers, payers, and auditors. For chiropractors, they outline what procedures were performed, where they were applied, and how extensive the treatment was.

CPT codes are not just about numbers—they are the backbone of your revenue cycle. They ensure payers know exactly what services were provided so claims can be processed accurately. Incorrect or vague codes not only delay reimbursement but may also raise red flags with insurance companies or regulatory agencies.

Chiropractic CPT codes are commonly used to bill for:

• Spinal manipulation / adjustment of specific regions
• Therapeutic modalities such as ultrasound, traction, or electrical stimulation
• Manual therapies like myofascial release and mobilization
• Rehabilitative exercises to strengthen and restore function

Key Chiropractic CPT Codes to Know in 2025

Here are some frequently used CPT / HCPCS codes that every chiropractic practice should be familiar with:

These codes form the foundation of chiropractic billing. Payer policies differ—some insurers bundle therapies into spinal manipulation codes, while others require separate billing. Verify payer guidelines before submitting claims.

Why Proper CPT Coding Matters

Correct coding is about more than compliance—it directly impacts your revenue cycle and patient trust. Key benefits include:

• Timely Reimbursement – Clear coding reduces denials and speeds up payment cycles.
• Audit Protection – Accurate documentation and coding safeguard your practice during audits.
• Patient Transparency – Patients appreciate knowing exactly what services they are being billed for.
• Revenue Optimization – Proper coding prevents underbilling and ensures fair compensation.
• Practice Growth – Strong revenue management frees up resources for care, technology, and training.

Common Chiropractic Coding Pitfalls

Even experienced chiropractors and billing teams fall into these traps:

• Vague documentation – Avoid generic notes like “spinal adjustment.” Specify regions treated, techniques, and patient response.
• Undercoding or overcoding – Coding fewer regions than treated leaves revenue on the table; coding more than performed may trigger audits.
• Modifier errors – For example, when an E/M service is performed the same day as an adjustment, a -25 modifier is often required.
• Bundling confusion – Some therapies are bundled with adjustments and cannot be billed separately unless payer rules allow.
• Maintenance care billing – Many insurers cover acute or corrective care but not maintenance visits; submitting claims incorrectly may result in denials.

Best Practices to Strengthen Your Billing Workflow

1. Regular Staff Training – Keep your billing team updated on CPT revisions and payer-specific rules.
2. Use SOAP Notes Effectively – Document Subjective, Objective, Assessment, and Plan for every visit.
3. Verify Coverage Up Front – Check frequency limits, covered therapies, and exclusions in advance.
4. Conduct Internal Audits – Review claims periodically to identify coding errors or denial trends.
5. Leverage Technology – EHRs and practice management software with coding support reduce human error.
6. Stay Current – CPT sets and payer policies change yearly; subscribe to coding updates or work with RCM experts.

Real-World Example