Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 36 CI

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: Many of the issues I bring to you are very small, yet each issue is just that, an issue. If you take care of the small issues, then you will be able to build and more importantly, focus on the bigger issues...a larger practice and more family time.

"Diagnosing Regions Adjusted"

I have read too many evaluations, re-evaluations and narrative reports that have the following diagnosis:


839.02 Subluxation of C3, C4, C5


First, the above diagnosis is for C2 only; these codes are often misused. Beyond the coding error, there are other issues that are more problematic and the solution is too easy to ignore. It would be simple to question you on a witness stand and ask, "Doctor, when you adjusted or manipulated the cervical spine and treated the C5 segment, is it probable that the C6 vertebrate also moved?" Your answer would have to be, "Yes," because that is the truth and it is possible and truthfully, highly probable.


The next question would be, "Then you treated a region of the body you did not diagnose. Is that correct?" Your answer would be, "Yes," and that is problematic on so many levels.


PLEASE...diagnose the region...not the segments. It will keep you on firm ground coding-wise, it is legally defensible as it is usual and customary within the profession to do so and it will protect you on so many levels.



839.00 Subluxation Cervical Spine 

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