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Top 4 Musculoskeletal Disorders Chiropractic Billing Practices

What Is the Purpose of Chiropractic Care? 

Chiropractic treatment is all about addressing joint damage, misalignments, and disorders, particularly those involving the spine. To avoid denial claims, documentation of the various musculoskeletal disorders is required particularly those involving the spine. To avoid denial claims, documentation of the various musculoskeletal disorders is required. If the physicians want to increase their revenue rate, then they should go for chiropractic billing services. That will not only take all of their administrative load off their shoulders but also help them increase their revenue with accurate claim submission.

Chiropractic Practice Coverage 

The coverage treatments that come under the chiropractic billing services are of limited benefit. The coverage is limited to the subluxation or also the manual manipulation of the condition. Subluxation is a coverage that is associated with the condition where a spinal vertebra is out of position in comparison to the other vertebra.

Below are the guidelines for physical examination, which is done by manual manipulation.

  • Tissue/Tone Texture

It can only be defined by the following procedures: observation, palpation, instrument usage, different tests for strength and length, etc.

  • Pain 

The encounters of the patients are mainly based on the painful response from neuromusculoskeletal disorders. Tenderness and pain are found only through observation, palpation, percussion, etc. The pain’s insanity can only be accessed by using one or more of the following. Visual analog scales, pain questioners, algometers, etc.

  • Motion Abnormality Range

This can be diagnosed by motion, palpation, stress diagnostic imaging, observation, range of motion measurements, etc.

  • Asymmetry/ Misalignment 
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It can be identified by a sectional or segmental level through the following procedures: observation, static palpation, for the misalignment of vertebral segments, diagnostic imaging, etc.

One of the problems or compliant that is addressed by the physicians and the precision level of each subluxation treatment has to be documented in the medical record. If the patient needs an extensive and prolonged course of treatment, then it should be consistent with the reported diagnosis. It is required that the claim include the level of subluxation as well as the primary diagnosis. Refer to the ICD-10 codes for the conditions that require medical necessity.

What Are the Chiropractic Billing Services Recommendations for Efficient Revenue Cycle Management?

So many codes and considerations are involved in the documentation of musculoskeletal disorders, which requires intense focus to ensure accuracy.

  • Maintaining the Highest Level of Specificity When Assigning ICD -10 codes 

Coding diagnosis requires the codes’ findings to be documented with the highest level of specificity. If the patient is going through a complicated factor regarding musculoskeletal conditions, then it has to be coded and placed at the end of the diagnosis list. Understanding the standards for ICD-10 coding of musculoskeletal illnesses is necessary for this. It is necessary to report conditions that fall within the scope of M00-M99 – Disease of the Musculoskeletal System and Connective Tissue (Chapter 13). In addition, the rules for the codes listed in Chapter 19 (Injury, poisoning, and certain other consequences of external causes.)

  • Analyzing Patient’s Medical History 

This is an extremely important phase in the billing process for chiropractic billing services for musculoskeletal diseases because many of these disorders are brought on by prior trauma, injuries, or recurring conditions. Reporting chronic or recurring injuries requires the use of ICD – 10 codes. This comprises the majority of recurrent bone, joint, or muscle disorders as well as bone, joint, or muscle conditions emerging from healed traumas. Current and acute injuries are correctly coded in Chapter 19. Using external cause codes, the condition’s root cause can be found.

  • Side and Laterality Representation
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To identify the bone, joint, or muscle that is implicated in the musculoskeletal ailment, the codes include site and laterality designations. Use the proper “many sites” codes if the patient has damage or dysfunction in more than one place, such as with osteoarthritis. If multiple site codes are not available, use a variety of codes that correspond to the various sites involved.