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Pregnancy Reproductive studies have been performed in rats and rabbits at doses up to 3.8 times the human dose on the basis of surface area and have revealed no evidence of impaired fertility or harm to the fetus due to CARNITOR

only spinal manipulation (98940-98942) Must document subluxation via X-ray or physical exam AT modifier required to indicate active treatment No coverage for 98943 (extraspinal) No coverage for 97110, 97140, 97112, 97035 No coverage for E/M under chiro benefit Subject to LCD requirements by MAC region Many cover therapeutic procedures (97110, 97140) E/M visits often covered with modifier 25 Extraspinal manipulation (98943) may be covered Coverage varies by plan and state May limit visit frequency or require authorization Some require functional improvement documentation Medicare only covers spinal manipulation for subluxation Under Medicare Part B, chiropractic coverage is limited to manual spinal manipulation billed with CPT codes 98940, 98941, or 98942

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