MedicaidCoverageHigh impact
Supplement 24-18: Billing and Reimbursement Guidelines for Chiropractic Services
New Mexico Medicaid·NM · Chiropractic·Claims & Billing
Effective date
Oct 1, 2024
We identified it
Jun 21, 2026
Summary
New Mexico Medicaid now covers chiropractic services for adults with neck pain, back pain, musculoskeletal pain, or headaches, with an annual benefit limit of $2,000. Chiropractors must enroll as Provider Type 341 with specific taxonomy code and use designated CPT codes for evaluation/management and manipulation services.
Action Required
By January 21, 2025: Chiropractic providers must enroll with NM Medicaid as Provider Type 341 using taxonomy code 111N00000X. Update billing system to include this taxonomy code for all chiropractic claims. Ensure primary diagnosis is subluxation supported by x-ray or physical exam, with neuromusculoskeletal condition as secondary diagnosis. Claims submitted within 90 days of October 23, 2024 will avoid timely filing denials.