What is the CPT code for a wellness adjustment?

What is the CPT code for a wellness adjustment?

• A. 98940
• B. G2083
• C. S8990
• D. 98943

Answer: (C)

Wellness adjustments are preventive, maintenance visits rather than active, problem-focused care. The CPT codes 98940 through 98943 are designed for Chiropractic Manipulative Treatment during active care with a diagnosed condition and are time- and region-based. A wellness adjustment doesn’t fit those active-care codes, so the HCPCS Level II code S8990, an unlisted chiropractic service, is used to represent a wellness/maintenance adjustment when billed. Documentation should note the wellness purpose, patient status (no active pathology), and the technique/regions treated for payer review. Always check the specific payer guidelines, but S8990 is the most appropriate option for a wellness adjustment.

Wellness adjustments are preventive, maintenance visits rather than active, problem-focused care. The CPT codes 98940 through 98943 are designed for Chiropractic Manipulative Treatment during active care with a diagnosed condition and are time- and region-based. A wellness adjustment doesn’t fit those active-care codes, so the HCPCS Level II code S8990, an unlisted chiropractic service, is used to represent a wellness/maintenance adjustment when billed. Documentation should note the wellness purpose, patient status (no active pathology), and the technique/regions treated for payer review. Always check the specific payer guidelines, but S8990 is the most appropriate option for a wellness adjustment.