Monthly Archives: January 2016

Noridian Medicare Diagnosis Update Chiropractic Services LCD – R3

There has been an update to the Medicare LCD for Noridian

This includes Jurisdiction E - California, Hawaii, Nevada, American Samoa, Guam & Northern Mariana Islands.

Jurisdiction F - Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah Washington, & Wyoming

Category II has had the addition of the following strain or sprain codes which may now be used for Medicare secondary codes. These additions are reflected in the HJ Ross Digital Coding site as well.

S13.4XXD, S13.4XXS, S13.8XXD, S13.8XXS, S16.1XXD, S16.1XXS, S23.3XXD, S23.3XXS, S23.8XXD, S23.8XXS, S33.5XXD, S33.5XXS, S33.6XXD, S33.6XXS, S33.8XXD, S33.8XXS, S39.012A, S39.012D, S39.012S.

New X-Ray Codes for 2016

2016 CPT coding has deleted and added some procedure codes for spinal x-rays.

72010 Full spine AP and Lateral, 72069 Thoracolumbar standing (scoliosis), and 72090 Scoliosis study supine and erect studies have been deleted and have additions of 4 new codes that replace and further delineate specific x-ray studies.

The codes in bold represent the 2016 additions with how they replace the above noted below.

  Spine
72020 Spine, single view, specify level
72040 Cervical spine, 2 or 3 views
72050 Cervical spine, minimum 4 or 5 views
72052 Cervical spine, 6 or more views
72070 Thoracic spine, 2 views
72072 Thoracic spine 3 views
72074 Thoracic spine, 4 views
72080 Thoracolumbar junction, minimum 2 views
72081 Spine entire thoracic and lumbar including skull and sacral spine 1 view
72082 Spine entire thoracic and lumbar including skull and sacral spine 2-3 views
72083 Spine entire thoracic and lumbar including skull and sacral spine 4-5 views
72084 Spine entire thoracic and lumbar including skull and sacral spine 6 views
72100 Lumbosacral spine, 2 or 3 views
72110 Lumbosacral spine, minimum 4 views
72114 Lumbosacral spine, minimum 6 views
72120 Lumbosacral spine, bending only 2 or 3 views

 

72010 Full spine AP and Lateral has been deleted use 72082

For a single view that includes the entire thoracic and lumbar spine use 72081

72069 Thoracolumbar standing (scoliosis) has been deleted. To report use 72081, 72082 72083 or 72084

72090 Scoliosis study supine and erect studies has been deleted use 72081, 72082, 72083, 72084