tci Part B Insider - 2014 Issue 36

Reader Questions: Nail Down Chiropractic Codes

Question: A patient presents with a subluxation of the lumbar and sacral spine with degeneration of disc(s) in the lumbar region, and the chiropractor performs CMT to the lumbar and sacral spine. Which codes do we report? Answer: You’ll report 739.3 (Nonallopathic lesions of lumbar region, not elsewhere classified) as the primary diagnosis, followed by a secondary diagnosis of 722.52 (Degeneration of lumbar or lumbosacral intervertebral disc), and a tertiary diagnosis of 739.4 (Nonallopathic lesions of sacral region, not elsewhere classified). However, you must have a neuromuscular complaint as well to report 739.4  Noridian...

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