X-rays must be reasonably proximate to the initiation of a course of treatment. Unless more specific X-ray evidence is warranted, an X-ray is considered reasonably proximate if it was taken no more than 12 months prior to or 3 months following the initiation of a course of chiropractic treatment. 

In certain cases of chronic subluxation (e.g., scoliosis), an older X-ray may be accepted provided the beneficiary's record indicates the condition existed longer than 12 months and there is a reasonable basis for concluding the condition is permanent. 

Yes, the documentation must indicate an evaluation of the effectiveness of the treatment provided for subsequent visits.

No, you must clearly state the acute or chronic category of subluxation in the patient's medical record.

No, the documentation must state the specific regions adjusted.

Abbreviations commonly used within any specialty are acceptable. However, if your patients' medical records contain abbreviations not commonly used, and you receive a request for medical records, please provide a key to the abbreviations. Submit the key with the medical records to assist us in the review.

Documentation for an acute problem should indicate an expectation treatment will result in the improvement in or arrest of progression of the patient's condition.
Documentation for a chronic problem should indicate an expectation stabilization or continued treatment will result in some functional improvement in the patient's condition.