tci Part B Insider - 2008 Issue 4

IMAGING: Chiropractor-Requested X-Rays Are No Longer Valid in CMS' Eyes

Medicare's -chiropractor exception- expired earlier this monthCMS has made an age-old chiropractor-radiologist relationship obsolete effective Jan. 1.The 2008 Medicare Physician Fee Schedule Final Rule has removed the longstanding -chiropractor exception,- which allowed radiologists to order and bill for x-rays requested by chiropractors.Prior to Jan. 1, 2000, Medicare required chiropractors to demonstrate subluxations via x-ray. -Because chiropractors are limited by statute in the services they can provide under Medicare,- the Final Rule states, -it was necessary to create an exception- to the rule that x-rays had to be ordered by the treating physician.Therefore, the exception...

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