Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 354 - MEDICAID HEALTH SERVICES
Subchapter A - PURCHASED HEALTH SERVICES
Division 4 - MEDICAID CHIROPRACTIC SERVICES
Section 354.1051 - Additional Claim Information Requirements

Universal Citation: 1 TX Admin Code ยง 354.1051

Current through Reg. 49, No. 38; September 20, 2024

In addition to the general requirements in § RSA 354.1001 of this title (relating to Claim Information Requirements), the following information is required on chiropractic claims:

(1) The diagnosis of subluxation which specifies the level and condition (acute or chronic).

(2) Location of subluxation. The precise level of the subluxation must be specified to substantiate a claim for manipulation of the spine. This designation is made in relation to the part of the spine in which the subluxation is identified. The level of subluxation may be specified in the following ways:

(A) The exact bones may be listed.

(B) The location may be used if it implies several bones.

(3) Place of service.

(4) The type of each treatment procedure.

(5) The individual charge for each authorized service related to a major diagnosis.

(6) Number of manual manipulations that have been performed.

Disclaimer: These regulations may not be the most recent version. Texas 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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