If I provide a statutorily excluded service am I required to have the patient sign an ABN?

While not mandated, the Advance Beneficiary Notice (ABN) may be provided to Medicare patients as a courtesy to inform them of their financial responsibility for services that are statutorily excluded from Medicare benefits. Medicare, by law, cannot pay for statutorily excluded services. This includes any service provided by a chiropractor other than manual manipulation (e.g., evaluation and management (E/M) services, physical therapy, nutritional supplements and counseling).

Resource: ABNs and Financial Liability- Pub. 100-04, Medicare Claims Processing Manual, Chapter 30, Section 50.3.2 (PDF, 1.16 MB).

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