- Pain/tenderness evaluated in terms of location, quality and intensity.
- Asymmetry/misalignment identified on a sectional or segmental level.
- Range of motion abnormality (changes in active, passive and accessory joint movements resulting in an increase or a decrease of sectional or segmental mobility.)
- Tissue, tone changes in the characteristics of contiguous or associated soft tissue, including skin, fascia, muscle and ligament.
**One of the two criteria documented must be either asymmetry or range of motion
I strongly suggest doing spinal x-rays a minimum of once each year, instead of P.A.R.T. Using your x-rays to determine subluxation is never challenged, where as anyone can challenge the findings of a subluxation with P.A.R.T.
If you have no x-ray of the area you adjusted, less than one (1) year old, you must do a P.A.R.T. form each Chiropractic visit. Even if some of your examinations consist of the same procedures as in P.A.R.T., you must have a P.A.R.T. form each visit. When you have current x-rays of your Medicare patient, no P.A.R.T. form is necessary. P.A.R.T. should be placed in Item #19 on the claim form to tell the Medicare carrier you are using P.A.R.T. with this patient.