Ancillary Service Recommendations

The treatment plan is an outline of the care you believe may be necessary to treat your patient. This includes your recommendations for the primary service, Chiropractic Manipulative Treatment (CMT), and all ancillary services (e.g., therapies, active treatment, and home care recommendations.) Every service you plan to order during treatment should be outlined in the plan including for each service, the medical necessity and rationale for treatment, the expected outcomes and goals, and the exact service to be performed. Third-party payers frequently disallow ancillary services when complete information is missing from the treatment plan and orders. This site page addresses non-CMT services and the standards for appropriate documentation in the treatment plan. The most significant/common codes are listed here.

Code/Service Service Description Necessary Documentation in Treatment Plan
All Codes All Services Minimum Documentation: area(s) to be treated; therapeutic outcome expected related to the appropriate diagnosis/region; frequency and duration; anticipated time and/or units recommended
97010 Hot/Cold Packs Define whether hot, cold, or both; minimum documentation noted above
97012 Mechanical Traction Type of traction (intermittent, continuous, over the door, linear, auto-traction); pounds/kilograms; minimum documentation noted above
97014/G0283 Electric Muscle Stimulation (unattended) Type of stimulation (Interferential Current [IFC], Transcutaneous Electrical Nerve Stimulation [TENS], cyclical muscle stimulation [Russian stimulation], sine wave, galvanic; frequency (MHz); minimum documentation noted above
97032 Electric Stimulation (manual) Type of attended stimulation – direct motor point stimulation delivered via probe, Functional Electrical Stimulation (FES) or Neuromuscular Electrical Stimulation (NMES); frequency (MHz); minimum documentation noted above
97035 Ultrasound Type of ultrasound (pulsed or continuous); contact medium; frequency and intensity; minimum documentation noted above
97110 Therapeutic Exercise Specific exercises recommended (active, active-assisted, passive participation by patient); purpose of the exercise as related to function with measurable indicators; minimum documentation noted above
97112 Neuromuscular Re-education (NMR) Type of NMR (proprioceptive neuromuscular facilitation [PNF], BAP’s boards, vestibular rehabilitation, desensitization techniques, balance, and posture training); purpose of the exercise as related to function with measurable indicators; minimum documentation noted above
97124 Massage Type of massage technique to be used (effleurage, petrissage, tapotement, stroking, compression, percussion, mechanical); minimum documentation noted above
97140 Manual Therapy (MT) Type of MT technique(s) to be used (manual traction, joint manipulation, myofascial release, trigger-point therapy [TPT], soft-tissue mobilization, manual lymphatic drainage); minimum documentation noted above
S8948 LASER Class of LASER; light wave frequency; intensity; minimum documentation noted above