Documenting the Location and Correct Coding

by  Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
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

Documenting the Location and Correct Coding. (2017, December 12). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/location-cervical-spine-or-head-32512.html

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