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Cervical
72040 (2-3 Views)
72050 (4-5 Views)
Fractures
Cervical Lordosis
Anterior Head Carriage
Spinous Rotation Left
• • •
Spinous Rotation Right
• • •
Spondylolisthesis
• • •
Add Spondylolisthesis Dx
Scoliosis
Add Scoliosis Dx
Disc Space
• • •
Add Disc Degeneration Dx
Foraminal Stenosis
• • •
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Degenerative Joint Disease
• • •
Osteophyte Formation
• • •
Additional Comments
Thoracic
72070 (2 Views)
72072 (3 Views)
Fractures
Thoracic Kyphosis
Spinous Rotation Left
• • •
Spinous Rotation Right
• • •
Spondylolisthesis
• • •
Add Spondylolisthesis Dx
Scoliosis
Add Scoliosis Dx
Disc Space
• • •
Add Disc Degeneration Dx
Foraminal Stenosis
• • •
Add Foraminal Stenosis Dx
Degenerative Joint Disease
• • •
Osteophyte Formation
• • •
Additional Comments
Lumbar
72100 (2-3 Views)
72110 (4+ Views)
Fractures
Lumbar Lordosis
Spinous Rotation Left
• • •
Spinous Rotation Right
• • •
Spondylolisthesis
• • •
Add Spondylolisthesis Dx
Scoliosis
Add Scoliosis Dx
Disc Space
• • •
Add Disc Degeneration Dx
Lumbar Disc Degeneration with Discogenic Back Pain Only
Lumbar Disc Degeneration with Lower Extremity Pain Only
Lumbar Disc Degeneration with Discogenic Back Pain And Lower Extremity Pain
Lumbar Disc Degeneration with no mention of Back Pain or Lower Extremity Pain
Foraminal Stenosis
• • •
Add Foraminal Stenosis Dx
Degenerative Joint Disease
• • •
Osteophyte Formation
• • •
Additional Comments
Upper Extremity
73020 Shoulder 1 View
73030 Shoulder 2+ Views
73070 Elbow 2+Views
73100 Wrist 2 Views
73120 Hand 2 Views
73140 Finger(s) 2 views
Comments
Lower Extremity
73500 Hip (Unilateral) 1 View
73510 Hip (Unilateral) 2 Views
73560 Knee 1 or 2 Views
73562 Knee 3 Views
73600 Ankle 2 Views
73610 Ankle 3+ Views
73620 Foot 2 Views
73630 Foot 3+ Views
Comments

Chirocare X-Ray Report Medical Form

Chiropractor

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Published: March 28, 2025, 6:05 p.m.
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