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tci Medicare Compliance & Reimbursement - 2008 Issue 6

Imaging: Chiropractor-Requested X-Rays No Longer Valid

Medicare's 'chiropractor exception' expired earlier this month Medicare has made an age-old chiropractor-radiologist relationship obsolete effective Jan. 1. The 2008 Medicare Physician Fee Schedule Final Rule has removed the longstanding "chiropractor exception," which allowed radiologists to order and bill for x-rays requested by chiropractors. Prior to Jan. 1, 2000, the Centers for Medicare & Medicaid Services (CMS) required chiropractors to demonstrate subluxations via x-ray. "Because chiropractors are limited by statute in the services they can provide under Medicare," the Final Rule states, "it was necessary to create an exception" to the rule that x-rays had to be...

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