Medicare will cover chiropractic manipulation of the spine to correct a spinal subluxation that is demonstrated by physical examination or by x-rays.
The patient must have a neuro-musculoskeletal condition resulting directly form the subluxation that requires treatment. The services provided must have a direct relationship to the patient’s condition. There must be a reasonable expectation of recovery or improvement of function. Maintenance therapy is not covered by Medicare. All other services ordered or provided by a chiropractor are not covered.
The beneficiary complained of mild pain on his neck and lower back, associated with stiffness. The documentation did not include evidence of the presence of a subluxation of the spine demonstrated