Generally, chiropractors are physicians who diagnose and treat different types of spinal disorders that cause severe musculoskeletal or nerve pain. As per reports from Webmd.com, about 22 million Americans visit chiropractors annually. Primarily used as a pain relief alternative for muscles, joints, bones, and connective tissues (like cartilage, ligaments, and tendons), chiropractic treatment is at times used in conjunction with conventional medical treatment. The basic theory behind this treatment modality is proper alignment of the body's musculoskeletal structure, particularly the spine, which will enable the body to heal itself without surgery or medications. Chiropractors use hands-on spinal manipulation and other alternative treatments to restore joint mobility. One of the most important aspects for a chiropractor is to identify the exact source of pain. Similar to other types of physicians, a chiropractor performs a physical and neurological examination as part of his/her process of making an accurate diagnosis of several spinal disorders. Diagnostic imaging tests like X-ray, CT scan may also be recommended to determine which type of treatment a patient requires and which area needs to be effectively addressed. Billing and coding for chiropractic-related spinal disorders can be challenging as it requires error-free coding of diagnostic procedures with the correct ICD-10 codes. A clear knowledge of the specific ICD-10 codes for these conditions and treatment can reduce claim denials and ensure accurate reimbursement. A reputable chiropractic billing company comprising a team of expert coders can help physicians submit accurate claims for spine conditions.
Here listed are two common spine-related problems that require evaluation and treatment by chiropractors â€“
* Subluxationâ€“Subluxation occurs when one of the vertebrae in your spine moves out of position. The condition is the result of misalignment of the vertebrae or spinal joints, which eventually affects the nerve communication between the brain and the body. Regarded as a very common spinal disorder, subluxation usually occurs in women and older adults aged 40 years or older. It occurs due to several factors like trauma (due to physical impact), playing sports, sleeping in a bad position, poor diet, and stress. As subluxation occurs due to several possible causes, symptoms can vary from person to person. Common symptoms include â€“ spinal muscle tightness, weakness or spasms, limited range of motion or spinal mobility, chronic pain, numbness or tingling sensation in the extremities and dizziness or balance problems. Treating this condition with chiropractic adjustments can help correct and restore misaligned vertebrae into proper positions.ICD-10 codes include â€“
â€˘ M99.1 Subluxation complex (vertebral)
â€˘ M99.11 Subluxation complex (vertebral) of cervical region
â€˘ M99.12 Subluxation complex (vertebral) of thoracic region
â€˘ M99.13 Subluxation complex (vertebral) of lumbar region
* Spinal Stenosis â€“Spinal stenosis is a condition that causes abnormal narrowing in the spinal canal, which limits the amount of space available for the spinal cord and nerves. The condition causes compression or squeezing of the spinal cord and its nerves. Degenerative arthritis or bony and soft tissue changes that can result from aging is one of the most common causes associated with the condition. More commonly occurring in the cervical and lumbar spine, this condition is seen in patients above the age of 50 years. However, not everyone develops spinal stenosis as they become older. People who have a spinal or back problem, family history of spinal stenosis, laborers, athletes, and people with certain connective tissue diseases such as ankylosing spondylitis, have an increased risk. The symptoms of this condition depend on where the stenosis occurs and can vary from patient to patient. Some of the common symptoms include â€“ neck pain, pain, numbness, and tingling, or cramping (in the arms, foot or leg), weakness in a hand, arm, foot or leg, hot or cold feelings in the legs, lower back pain while standing or walking and bowel or bladder dysfunction. Treatment mainly focuses on understanding the risk factors, reducing symptoms, and relieving severe pain. The first line of treatment usually begins with non-surgical modalities like â€“ chiropractic care, physical therapy exercises along with non-steroidal anti-inflammatory medications. Related ICD-10 codes include â€“
â€˘ M48.0 Spinal stenosis
â€˘ M48.00 Spinal stenosis, site unspecified
â€˘ M48.01 Spinal stenosis, occipito-atlanto-axial region
â€˘ M48.02 Spinal stenosis, cervical region
â€˘ M48.03 Spinal stenosis, cervicothoracic region
â€˘ M48.04 Spinal stenosis, thoracic region
â€˘ M48.05 Spinal stenosis, thoracolumbar region
â€˘ M48.06 Spinal stenosis, lumbar region
â€˘ M48.07 Spinal stenosis, lumbosacral region
â€˘ M48.08 Spinal stenosis, sacral and sacrococcygeal region
People undergoing chiropractic treatment should check with their chiropractors or physicians to make sure that their specific condition will benefit from chiropractic techniques. Chiropractic offices as well as medical billing and coding companies should be up-to-date with the latest coding guidelines and be ready to assign more specific and correct codes for the services provided.
About the Author:
Rajeev Rajagopal is the owner of Managed Outsource Solutions which runs its digital marketing division through MedResponsive since 2003. As someone who has developed businesses in several industry segments, he loves strategizing and coming up with innovative solutions for businesses that are hitting a roadblock with their online strategy. He is adept at creating campaigns that mesh your business's traditional and digital plans and make them work together. Spearheading the digital marketing division, he works with his team of talented and dynamic designers, programmers, writers, search engineers, and Social media experts to make businesses tick. Whenever possible he loves to write engaging content related to SEO and its evolution, sharing his ideas and insights with others. In his spare time, he likes to read, watch sports, play badminton, golf, and travel with his family.