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Blue Cross Blue Shield of North DakotaMedicaid · Billing Codes · Provider News · ND · ChiropracticHigh impact

New Chiropractic and Osteopathic Treatments Policy

Act
by Jun 15, 2026
Effective date
Jun 15, 2026
Identified
Jun 19, 2026

Summary

Blue Cross Blue Shield of North Dakota updated their chiropractic policy to include osteopathic treatments and now requires more specific diagnosis coding. Starting June 15, 2026, Medicaid Expansion claims must include modifier AT on all CMT codes or they will be denied.

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What to do

by Jun 15, 2026 · 3 steps
01Billing team must update system to automatically append modifier AT to all CMT codes (98940-98943) for Medicaid Expansion claims.
02Update encounter forms to remind providers that pain-only diagnoses are insufficient and must specify precise subluxation levels.
03Claims without modifier AT will be denied as non-covered.

Codes mentioned

98940989419894298943

Original notice

New Chiropractic and Osteopathic Treatments Policy
bcbsnd.com · Always check the source before changing claims.
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Related changes

See all Blue Cross Blue Shield of North Dakota changes →
Notice of Processing issue with Chiropractic and Osteopathic Treatment Reimbursement Policy Coding ChangeHighEffective Jun 15, 2026 · CodingBrowse every Blue Cross Blue Shield of North Dakota change in the policy list

Related policy hubs

Blue Cross Blue Shield of North Dakota policiesND policy changesChiropracticCode 98940Code 98941Code 98942Code 98943

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