Medicare_Benefit_Policy_Manual / Chapter_15 / 240.1.2_-_Subluxation_May_Be_Demonstrated_by_X-Ray_or_Physician_s_Exam

Why This Topic Matters

Accurate documentation is essential for supporting chiropractic claims and for meeting Medicare’s expectations when subluxation is the basis for care. This section helps readers understand the scope of the required clinical record without replacing the full policy language.

Article Sections

1. Demonstrated by X-Ray

   Explains the general use of imaging evidence and timing expectations discussed in the policy. Also notes accepted forms of spinal imaging evidence in broad terms.

2. Demonstrated by Physical Examination

   Summarizes the broad categories of musculoskeletal and neurologic findings discussed for physical examination-based documentation. It also addresses the overall requirement for multiple exam elements.

3. Documentation Requirements: Initial Visit

   Outlines the types of history, examination, diagnosis, treatment-plan, and treatment-date information expected for an initial visit. The section describes the documentation framework used to support the claim record.

4. Documentation Requirements: Subsequent Visits

   Describes the recurring documentation elements expected at later visits, including history, physical examination, and treatment documentation. The section focuses on ongoing recordkeeping expectations.