The authors concluded that the present study proposes a computerized procedure to evaluate intervertebral motion of the cervical spine. The calculated values obtained are comparable to other studies on intervertebral motion and support further development to validate the method. It uses a different reference frame for each joint instead of the same reference frame for all joints and thus provides a measure of motion in the plane of each articulation. These researchers reported that this method provided a measure of intervertebral angular and translational movement. The same procedure was performed for both the flexion and extension radiographs, and the coordinates of the 2 points were used to calculate the angular movement and the translation between the 2 vertebrae. The measurements were obtained by selecting the most antero-inferior point and the most postero-inferior point of a vertebral body (anterior and posterior arch, respectively, for C1), with the origin of the reference frame set at the most postero-inferior point of the vertebral body below. Flexion-extension radiographs were digitized with a scanner at a ratio of 1:1 and imported into a software, allowing segmental motion measurements. Piche and colleagues (2007) developed a measurement method that could be implemented in chiropractic for the evaluation of angular and translational intervertebral motion of the cervical spine. However, there is a lack of evidence in the published peer-reviewed medical literature to support the usefulness of these devices in improving clinical outcomes. ICD-10 codes not covered for indications listed in the CPB (not all-inclusive):Ĭomputerized Motion Diagnostic Imaging (CMDI) Systems (Motion Diagnostics Laboratories, Hauppauge, NY) employ a dual-inclinometer and/or a long-arm goniometer and computer software to track range of motion and can allegedly estimate the percentage of impairment of the spine. Review and interpretation by physician or other qualified health care professional of comprehensive computer-based motion analysis, dynamic plantar pressure measurements, dynamic surface electromyography during walking or other functional activities, and dynamic fine wire electromyography, with written report With dynamic plantar pressure measurements during walking Vertebral motion analysis, DARI scan (functional motion analysis) - no specific code:Ĭomprehensive full body computer-based markerless 3D kinematic and kinetic motion analysis and reportĬomprehensive computer-based motion analysis by video-taping and 3-D kinematics Codes requiring a 7th character are represented by "+":ĬPT codes not covered for indications listed in the CPB: Information in the below has been added for clarification purposes. Table: CPT Codes / HCPCS Codes / ICD-10 Codes Code CPB 0263 - Gait Analysis and Electrodynogram.Vertebral motion analysis for evaluation of the spine or any other indications.Computerized motion diagnostic imaging for evaluation of the spine or any other indications.The following procedures are considered experimental and investigational because the effectiveness of these approaches has not been established: This Clinical Policy Bulletin addresses computerized motion diagnostic imaging. Number: 0432 Table Of Contents Policy Applicable CPT / HCPCS / ICD-10 Codes Background References
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