Chiropractic CPT Code Changes for 2023
- The latest chiropractic CPT codes changes include new codes and subcategories to streamline coding and billing.
- Modifications to the E/M codes reflect the simplification of the CPT codes, enabling doctors and their teams to focus on patient care.
- Staying updated on CPT code changes ensures your practice remains compliant and sees a better reimbursement rate for insurance claims.
The American Medical Association recently introduced new chiropractic CPT codes for providers. The new codes reflect changes to specific conditions and injuries that may affect your chiropractic coding and billing workflows. Discover some of the latest changes to the ICD-10-CM codes to help you stay compliant with chiropractic billing and coding regulations.
Updated Chiropractic CPT Codes for 2023
Your chiropractic practice must understand and use the correct, updated codes when billing payers. Using the appropriate codes informs insurance companies of specific care and treatments patients receive at your practice and ensures you are reimbursed properly for the claim.
Chiropractic CPT code changes you need to know for this year include the following:
Due to changes regarding the code G93.3- for COVID postviral fatigue syndrome, chronic fatigue syndrome no longer has the code R53.82. This condition is now in the category of encephalomyelitis/chronic fatigue syndrome with the new code G93.32.
If applicable, use the code U09.9 for an unspecified condition with G93.3-, except for neurasthenia.
Lumbosacral and Lumbar Intervertebral Annulus Fibrosus
The annulus fibrosus surrounds the jelly-like nucleus pulposus and helps prevent it from rupture or herniation. Defects in the annulus fibrosus often result in disc herniation.
A new subcategory to the M51.A- classification reads, “Other lumbar and lumbosacral annulus fibrosus disc defects.” The new codes detail large and small annual defects, helping clinicians track and assess health outcomes for patients undergoing lumbar discectomy and treatments for large annular defects.
These new codes have specific directions to code disc herniations first. For instance, the code M51.A3 for an intervertebral annulus fibrosis defect has the note to code for M51.17 and M51.27 for a lumbosacral disc herniation.
Electric Bike Injuries
Battery-powered electric bicycles are different from motorcycles in that they travel off-road, like along sidewalks and parks, and do not need helmets. The ICD-10-CM now reports e-bike injuries separately from motorcycle injuries. For example, the V20.2- code for injured motorcycle riders has additional codes referring to e-bike riders:
- The code V20.21- refers to an electric bicycle rider injured in a nontraffic accident when they collide with a pedestrian or an animal.
- V20.29- refers to an unspecified rider of another motorcycle injured in a collision with a pedestrian or animal in a nontraffic accident.
The concussion category under S06.0 includes brain injuries from sudden jolts and shakes due to sports and car accidents. The category S06 has several changes, particularly within subcategory S06.0X- which includes new terms and an additional subcategory S06.0XA-.
- The new code S06.0X1- indicates a concussion with loss of consciousness of fewer than 30 minutes.
- The code S06.0XA- designates a loss of consciousness for an unknown period due to a concussion.
- There is no longer the code for Concussion NOS. Instead, you have to use the S06.0XA- category.
Limb Girdle Muscular Dystrophies
Limb girdle muscular dystrophies (LGMD), under the code G71.03, is a genetic condition characterized by progressive muscle weakness and atrophy in the hips and shoulders that can spread to other muscles. A genetic test must diagnose LGMD because the condition develops from genetic causes and inheritance patterns.
For example, Type 1 LGMD has an autosomal-dominant inheritance pattern. A mutation in the CAPN3 gene causes calpainopathy, or limb-girdle muscular dystrophy type 2A, which accounts for about 30% of cases.
Choosing a code depends on one of these causes for the onset of the LGMD:
- G71.031 describes the autosomal-dominant LGMD.
- G71.032 refers to autosomal-recessive LGMD from calpain-3 dysfunction.
- G71.033 indicates LGMD because of dysferlin dysfunction.
- G71.034 includes the different types of LGMD due to sarcoglycans such as beta, alpha, unknown, or other.
- G71.035 delineates LGMD due to anoctamin-5 dysfunction.
Nontraumatic Slipped Upper Femoral Epiphysis
The sub-category for non-traumatic slipped upper femoral epiphysis under the code M93.0- underwent several changes. These updates include the following:
- Sub-terms and inclusion terms like slipped capital femoral epiphysis (SCFE).
- The term “stable” is part of the codes M93.01-, M93.02-, and M93,03-.
- The addition of “unstable,” “acute,” and “acute on chronic” subcategories.
Muscle Wasting and Atrophy
The M62.5- subcategory for muscle wasting and atrophy includes new codes for every level:
- M62.5A0 specifies cervical muscle wasting and atrophy
- M62.5A2 indicates muscle wasting and atrophy in the lumbosacral region
- M62.5A1 describes the muscle wasting and atrophy in the thoracic spine
- M62.5A9 is for muscle wasting and atrophy at an unspecified level
E/M Code Updates
The American Medical Association stated that most of the updated and revised CPT codes for 2023 simplify the language for evaluation/management (E/M) codes for these services:
- Inpatient and observation care services. The revisions to the code descriptors now show the time structure on the encounter date or the level of medical decision making when choosing a code level.
- Consultations. The removal of the lowest-level code for office and inpatient consultations is under the four levels of medical decision making.
- Nursing facilities. Updated guidelines for nursing facilities have a new definition of multiple morbidities needing intensive management for the highest level at the initial admission.
- Home and residence services. The CPT codes 99334-99340 for rest home services merged with the current home visit codes 99341-99350.
- Prolonged services. The new code 993XO replaces the code for office visit prolonged services in an inpatient, observation, or nursing facility.
Cloud-Based ChiroTouch Simplifies Chiropractic Billing and Coding
Your practice can increase profits and receive reimbursements quickly using the right chiropractic EHR software. With ChiroTouch, you can link CPT codes in your provider’s SOAP notes directly to your billing screen, reducing the likelihood of data entry errors when entering codes.
ChiroTouch practice management software simplifies chiropractic billing as well, with a streamlined billing workflow and claims management for insurance practices. With our integrated add-on service CT Payments, you can also offer your patients flexible payment options, including credit cards, mobile apps, or online payments.
Stay on Top of Chiropractic CPT Codes and Billing with ChiroTouch
ChiroTouch’s chiropractic practice management software features automated documentation and integrated payment processing to keep you compliant with CPT coding and billing.
Book a demo to learn how Chirotouch helps you stay on top of your documentation and coding while streamlining project management.