As we anticipate a vast number of changes due in 2014 with the implementation of ICD10, we will not see many changes this year.  Listed below are the changes in CPT coding that will affect Chiropractic billing.

Therapy / Rehabilitation Codes

97530  = Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes

(old version reads Therapeutic activities, direct (one-on-one) patient contact by the provider (use of dynamic activities to improve functional performance), each 15 minutes.)

Note absence of requirement for this code to be done by provider.

97535 = Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes

(Same change as 97530.  Words “by provider” removed from definition)

97537 = Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive technology device/adaptive equipment), direct one-on-one contact, each 15 minutes

(Same change as 97530.  Words “by provider” removed from definition)

Radiology Codes

If you take x-rays in your chiropractic office, be careful!  These codes have been “clarified” to reflect the correct number of views per code:

72040  = 3 views or less

(the old version read 2 or 3 views)

72050 = 4 or 5 views

(the old version read minimum 4 views)

72052 = 6 or more views

(the old version read complete, including oblique and flexion and/or extension studies.  Notice that there are now no specific references to which views you must take, just a minimum number.)