Df, I would code the 76120 or the 76125 depending upon notes and because this procedure is considered investigational for chiro purposes make sure attached the notes. There are codes for this type of chiro procedure
Some chiropractors may bill under the code: 76499 - unlisted diagnostic radiographic procedure. This is not appropriate, since valid codes for the procedure do exist.
Hope this helps
76120 technical component $202.37
76120 professional component $148.42
76125 technical component $79.53
76125 professional component $35.89
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Description:
Dynamic Motion X-ray (DMX), also known as cineradiography and videofluoroscopy of the spine has been investigated as an imaging tool to aid in diagnoses and assessment. It is promoted as a way to enable the treating physician to visualize the internal and external movements of the spinal column or biomechanics simultaneously. Videotaping of fluoroscopic images shows normal and abnormal joint motion, fractures, ligament damage and other anomalies. It has been investigated for use as an aid in the evaluation of musculoskeletal disorders and in a number of orthopedic, neurosurgical and chiropractic applications.
DMX, cineradiography and videofluoroscopy of the spine are considered investigational.
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Procedure Codes and Billing Guidelines:
To report provider services, use appropriate CPT* codes, Modifiers, Alpha Numeric (HCPCS level 2) codes, Revenue codes, and/or ICD-9 diagnostic codes.
CPT 76120 Cineradiography/videoradiography, except where specifically included
CPT 76125 Cineradiography/videoradiography to complement routine examination (List separately in addition to code for primary procedure)
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Selected References:
Blue Cross Blue Shield Association. Medical Policy Reference Manual. (3:2008) Dynamic Spinal Visualization (6.01.46). Retrieved February 10, 2009.
Okawa A, Shinomiya K, Komori H, Muneta T, Arai Y, Nakai O. Dynamic motion study of the whole lumbar spine by videofluoroscopy. Spine 1998 Aug 15;23(16):1743-9.
Takayanagi K, Takahashi K, Yamagata M, Moriya H, Kitahara H, Tamaki T.Using cineradiography for continuous dynamic-motion analysis of the lumbar spine. Spine 2001 Sep 1;26(17):1858-65.
Zheng Y, Nixon MS, Allen R. Automated segmentation of lumbar vertebrae in digital videofluoroscopic images. IEEE Trans Med Imaging. 2004;23(1):45-52.
ECRI. Videofluoroscopy of the Spine or Diagnosing Instability. Plymouth Meeting (PA): ECRI Health Technology Information Service; 2008 April 16. 7p. (ECRI Hotline Response). Also available:
http://www.ecri.org.