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Documenting the Location and Correct Coding

By:  Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
Published:  December 12th, 2017

The exact level of the subluxation must be specified in the documentation to substantiate payment of a claim. 

You may document the exact bones such as C3, C3 or the area if it implies only certain bones such as the Occipito-atlantal - Occiput, and C1 (Atlas). 

C1 is the first vertebra known as the atlas. The axis-form is a pivotal joint that includes C1 and C2.

Area Vertebrae # of Vertebrae Other Name
Neck Occiput Occ, CO
Cervical 7 C1 thru C7
Atlas C1
Axis C2
Back Dorsal Or 12 D1 thru D12
Thoracic T1 thru T12
Costovertebral R1 thru R12
Low Back Lumbar 5 L1 thru L5
Pelvis IIii, r and I I,Si
Sacral Sacrum, Coccyx S, SC

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