NGS Changes Chiropractic LCD

NGS Changes Chiropractic LCD

The ICS previously announced that NGS would be making significant changes to the chiropractic Local Carrier Determination (LCD) for our region, and yesterday NGS sent out an alert about these changes. You are able to view the full LCD from NGS here. (You may select to sign in as a guest on their site)

The alert indicates “the secondary diagnosis list has been removed from the version of the LCD that will be effective 10/1/2015.” Here is the impact of that announcement:


  1. “The primary diagnosis must be subluxation, including the level of subluxation, either so stated or identified by a term descriptive of subluxation.” Therefore, the primary diagnosis must indicate subluxation, and chiropractic physicians must use Group 1 Codes as indicated in the LCD (M99.01-M99.05).
  2. There is no longer a specific listing of secondary (Group 2 Codes) within the LCD (All 263 code references have been removed). The result of the removal of the secondary diagnosis listing from the LCD means that our doctors can utilize the correct ICD-10 code that most closely resembles the diagnosis demonstrated.
  3. Although a secondary (and additional) diagnosis code is not mandatory, The Illinois Chiropractic Society strongly urges chiropractic physicians to include any relevant secondary/qualifying diagnosis to properly reflect the patient’s condition, correctly code the documented diagnosis, protect against potential future claims reviews, and clearly demonstrate the number of conditions that we treat as a profession.

These change take effect tomorrow (October 1, 2015).

These and many other issues will be covered in detail at the Chicago National Convention & Expo this weekend. For more information or to register, please visit

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The Illinois Chiropractic Society staff works collaboratively on many topics to bring the most comprehensive and relevant information to our members. We have over 60 years of chiropractic experience and understand the heartbeat of the profession. We all look forward to providing relevant information to our members for years to come.

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