Spinal Manipulation Clause Samples
The Spinal Manipulation clause defines the terms and conditions under which spinal manipulation procedures may be performed or covered. Typically, this clause outlines the qualifications required for practitioners, the types of spinal manipulation allowed, and any limitations or exclusions, such as frequency of treatments or specific medical indications. Its core function is to ensure that spinal manipulation is administered safely and appropriately, thereby protecting both the patient and the provider from misunderstandings or misuse.
Spinal Manipulation. See Chiropractic services above.
Spinal Manipulation. See Part IX.,
Spinal Manipulation. A. Covered Services Coverage is provided for Medically Necessary spinal manipulation, evaluation, and treatment for the musculoskeletal conditions of the spine when provided by a licensed chiropractor, doctor of osteopathy (D.O.), or other eligible practitioner who is a Contracting Provider.
B. Limitations
1. Benefits will not be provided for spinal manipulation services other than for musculoskeletal conditions of the spine.
2. Prior authorization is not required for spinal manipulation services.
Spinal Manipulation. Spinal manipulation Services rendered by Physicians for manipulation of the spine to correct a slight dislocation of a bone or joint that is demonstrated by x-ray are covered.
Spinal Manipulation. A. Covered Benefits Coverage shall be provided for Medically Necessary spinal manipulation, evaluation and treatment for the musculoskeletal conditions of the spine when provided by a licensed chiropractor, doctor of osteopathy (D.O.) or other eligible practitioner. Benefits will not be provided for spinal manipulation services other than for musculoskeletal conditions of the spine. Spinal Manipulation services are limited to Members who are twelve (12) years of age or older.
B. Limitations and Conditions Prior authorization is not required for chiropractic services, or for any other service provided by the same provider on the same day as these services.