ED Coding & Reimbursement Alert - 2008 Issue 4
IMAGING: Chiropractor-Requested X-Rays Are No Longer Valid in CMS' Eyes
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Article Overview
This article covers a Medicare policy update from CMS affecting chiropractic-related imaging workflows and billing. It explains why the former exception was removed, what broad types of x-ray requests were affected, and how the change may impact billing practices for providers and coders working with Medicare chiropractic claims. The piece is relevant to chiropractors, radiology billing staff, and Medicare reimbursement professionals.
Why This Topic Matters
It matters because it describes a change in Medicare policy that affects whether certain chiropractic-requested x-rays remain payable, which directly impacts claim submission, compliance, and billing workflow decisions for affected practices.
What You Will Learn
- The Medicare policy background behind the chiropractic x-ray exception
- Why CMS changed the longstanding exception
- How the policy change affects chiropractic and radiology billing workflows
- Which provider groups are affected by the update
- Where the change appears in the Medicare Physician Fee Schedule Final Rule
Who Should Read This
- Chiropractors
- Radiology billing staff
- Medical coders
- Medicare reimbursement specialists
- Practice managers
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