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| DK Coding Advisory | |||||
| Research Sponsored by Sun Billing | |||||
Can CPT Code 97012 (Mechanical Traction) Be Used for the Flexion-Distraction Technique? | |||||
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A copy of this Advisory |
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| Drafted by: DK Coding | |||||
| (President: David Klein, CPC, CHC) |
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According to Logan College of Chiropractic, the Flexion / Distraction (COX) Technique is | |||||||||||
"based on a distractive force (supplied with the contact hand) combined with table motion. The Cox table is designed to restore normal physiological range of motion to the cervical, thoracic and lumbar spinal joints. Flexion-Decompression manipulation is a gentle, non-force adjusting procedure which works with the body's natural design to aid it in healing properly.... Additional goals of the flexion-decompression adjustment include transfer of metabolites into the spinal disc, increase mobility of the spinal joints, decreasing intra-discal pressures and decompressing inflamed/compressed spinal nerve roots." | |||||||||||
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Chiropractic Adjusting Techniques Offered at Logan College, Flexion-Distraction (COX), http://www.logan.edu/pdf/adm/chiropractic_adjusting_techniques.pdf at pg. 4, as of 04-03-07 The overwhelming majority of commentators agree that the Cox Flexion-Distraction technique constitutes a form of Chiropractic Manipulative Therapy and, as such, should be coded using CPT Codes 98940-98942. Additionally, many third-party payers specifically classify the Cox technique as a form of spinal adjustment or manipulation in their medical policy bulletins. Research revealed no commentators or payers who take a different position on coding. The conclusion that Cox Flexion-Distraction does not constitute a form of mechanical traction is supported by another fact – the technique generally requires one-on-one patient contact by the provider. Although the various forms of mechanical traction require supervision, they generally do not entail one-on-one patient contact by the provider. |
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