Your services, CPT codes and modifiers (chiropractic)
3 min read · Updated November 12, 2026
Your service list is the care your office bills for, each with its code, your fee and, when it has them, its usual claim modifiers. A chiropractic office uses CPT and HCPCS codes, like 98941 for a spinal adjustment, 97140 for manual therapy, or G0283 for electrical stimulation.
Everything on a result is built off this list:
- Coverage by service on the patient's page lists your codes, with what the plan pays for each.
- Every estimate prices your codes from your fees.
Open Settings, then Services. (If Valian does your billing, the tab is Services & doctors, and each doctor and their NPI are kept there too.)
Your first codes
Until your office saves its first codes, Settings › Services asks What do you check coverage for? Checks can't run until your codes and your carriers are saved.
- Pick them here adds the usual codes for your specialty.
- Under Your fees, type your price for each code, or remove a code with its ✕.
- Press Save codes. It stays off until every code has a price.
Already have your codes and fees somewhere? Choose Upload your fee schedule and drop in a spreadsheet, a PDF or a picture, as below.
Import your codes from a file or a picture
The quickest way is often a screenshot of the billing codes screen in your practice software, with each code and its price.
- In your service table, click Import a file or a picture.
- Drop it on Drop your file or a picture, or click to choose it. A spreadsheet, a PDF, a screenshot or a photo all work.
- A picture takes about half a minute: we read every code and price twice, and keep only the codes both reads agree on. A code whose price wasn't clear is left out and named, so you can add it by hand. Modifiers are read the same way.
- Choose what to do with the codes:
- Add them to your list keeps your services and adds the new ones. A code in both takes the new price.
- Use only these clears your list. Only the services you imported stay.
- Check the list, then save.
Nothing saves until you review it and save.
Modifiers
Many chiropractic codes are billed with a modifier, like 59 on a therapy code billed the same day as an adjustment, 25 on an office visit, or GP on physical therapy services. Each service keeps its usual modifiers (up to four) in the Modifier column. To add or change them, point at the row, click Edit, and type them, for example "GP 59". An import reads them from a modifier column, or from beside the code.
Add or change one service
- Add: click + Add service, type the code, and type your fee.
- Change a price: point at the row, click Edit, and type the new price.
- Turn off or delete: use the switch in the On column to take a service off every result, or Delete to take it off your list.
Frequently asked questions
Does a code with letters count? Yes. CPT codes with four digits and a letter (like 0101T) and HCPCS codes (like G0283 or E0730) are billable codes on your list.
Do I need to run checks again after I change codes? No. Your codes and fees are read when you open a result, so a patient checked last week shows a code you added today.
Can I import the payer's fee schedule here? No. This list is your own fees. A payer's fee schedule, what it allows for each code, goes on that carrier in Settings › Insurance. See Allowed amounts and fee schedules.
