Missouri Code of State Regulations
Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE
Division 2070 - State Board of Chiropractic Examiners
Chapter 2 - General Rules
Section 20 CSR 2070-2.030 - Diagnostic and Adjunctive Procedures

Universal Citation: 20 MO Code of State Regs 2070-2.030

Current through Register Vol. 49, No. 6, March 15, 2024

PURPOSE: This amendment provides information regarding the diagnostic and adjunctive procedures used by chiropractic physicians when treating patients.

PURPOSE: This rule outlines diagnostic and adjunctive procedures that may be used by chiropractic physicians.

(1) The board approves the use of those diagnostic procedures and instruments which are commonly taught by approved chiropractic colleges.

(2) Diagnostic procedures approved by the board include, but are not limited to, the following-

(A) Physical Examination:
1. Inspection, including the use of instrumentation such as an ophthalmoscope, otoscope, tongue-depressor, tape measure, thermometer, percussion hammer, pinwheel, sphygmomanome-ter, proctoscope, nervoscope, neurocalometer, neurodermagraph, electromyograph, heartometer, phonocardiograph, electrocardiograph, spirometer, vitalor, visual acuity charts, weight measurement scales, dermathermagraph, vasculizer, and routine orthopedic and neurologic procedures;

2. Palpation; or

3. Auscultation, including the use of a stethoscope, tuning forks, audiograph, and phonocardiograph.

(B) Diagnostic imaging:
1. Motionless diagnostic X-ray study;

2. Fluoroscopy;

3. Cineradiography;

4. Magnetic Resonance Imaging (MRI);

5. Computerized Axial Tomography (CT SCAN);

6. Ultrasound; or

7. Magnetic Resonance Angiogram (MRA).

(C) Clinical laboratory tests:
1. Blood specimen;

2. Urine specimen;

3. Fecal specimen;

4. Sputum specimen;

5. Hair specimen; or

6. Mucosal specimen.

(D) Muscle testing with strength and endurance curves during isometric or isokinetic exercise.

(3) Those adjunctive chiropractic procedures presently approved by the board include, but are not limited to:

(A) Heat and heat-producing devices;

(B) Ice and cooling packs;

(C) Extension therapy; or

(D) Therapeutic exercise, muscle therapy, reflex techniques, and postural and structural supports.

(4) In order to avoid overutilization of ionizing radiation, a chiropractic physician shall observe the following guidelines:

(A) Routine radiography of any patient shall not be performed without due regard for clinical need; and

(B) Repeat radiographic evaluation of the patient shall not be undertaken without clinical indication, as determined by the treating chiropractic physician.

(5) The licensee shall comply with all applicable state and federal requirements concerning any registration or maintenance of X-ray equipment.

*Original authority: 331.010, RSMo 1939, amended 1969, 1982, 1995.

Disclaimer: These regulations may not be the most recent version. Missouri may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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