Medical necessity to provide chiropractic services should be subluxation. Subluxation is defined as the incomplete dislocation, off centering, misalignment, fixation or abnormal spacing of vertebrae or intervertebral units. Subluxation are classified as either
Physical Exam:
Documentation Requirements:
Additionally, the below discussed documentation requirement, must be met.
Places of Service:
Diagnoses Covered:
This policy requires two diagnoses for each subluxation, a primary diagnosis (non-allopathic, ICD-10-CM codes M99.00-M99.05) and a secondary diagnosis from Categories I, II or III, this diagnosis being the cause of the subluxation.
Use of AT Modifier: