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Microsoft Word - MAB Chiropractor Local to National Code Cross Walk 11.30.0...
Pennsylvania Medicaid (DHS)·PA · Chiropractic·Provider Bulletin
Effective date
Jan 1, 2006
We identified it
Jun 20, 2026
Summary
Pennsylvania Medicaid is transitioning from local chiropractic procedure codes (W9030, W9000, W9960) to national CPT codes (98940, 98941, 99344, 99345, 99499) effective January 1, 2006. This change is required for HIPAA compliance and affects all fee-for-service Medicaid claims for chiropractic services.
Action Required
By January 1, 2006: Billing team must update billing system to replace local codes W9030, W9000, and W9960 with national CPT codes 98940, 98941, 99344 (with U9 modifier), 99345 (with U9 modifier), and 99499 for Pennsylvania Medicaid chiropractic services. Update encounter forms and train staff on the code crosswalk. Failure to use correct national codes will result in claim denials or inappropriate payments.