The updated digital edition of the Chiropractic Insurance Coding Manual now contains the original “HJ Ross Diagnostic Corollaries.” This signature guide intends to assist the provider in assessing the options for the most appropriate diagnosis and avoid the use of simple or incomplete diagnoses. An overly simple or incomplete diagnosis may not fully describe the condition being treated, and thus limit reimbursement potential.

A Corollary is defined as a proposition that follows directly from the proof of another proposition; an immediate consequence or easily drawn conclusion; a deduction; a natural consequence or result.

The HJ Ross Corollaries serve as an aid to differentiate possible diagnoses based on spinal region, specific complaint(s), and finding(s) including orthopedic tests, x-rays, neurologic findings and more. ICD9 and ICD10 coding are both included for ease in coding transition.

Expert Tip: While a simple diagnosis of pain may be appropriate, it likely will result in short term and simple care at best. It may be more appropriate and beneficial to diagnose the causation or underlying reason for the pain. A more focused and specific diagnosis will be much more beneficial to establish treatment protocol while limiting requests for additional information that justify care.

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Cervical Spine

Complaint/Symptom Neck Pain no history of trauma
Objective Cervical paraspinal muscles tender, reduced range-of-motion, grossly and segmentally. Orthopedic and neurologic exams normal.
Diagnosis Indication Cervicalgia (neck pain)
ICD9 723.1
ICD10 M54.2
Complaint/Symptom Neck Pain no history of trauma
Objective Segmental misalignment
Diagnosis Indication Subluxation complex cervical region
ICD9 839.00
ICD10 M99.11
Complaint/Symptom Neck Pain no history of trauma
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Diagnosis Indication  
Complaint/Symptom Neck Pain no history of trauma
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Diagnosis Indication  
Complaint/Symptom Muscle Spasm
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Complaint/Symptom Muscle Spasm
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Complaint/Symptom Neck Pain no history of trauma
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Diagnosis Indication  
Complaint/Symptom Neck Pain
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Diagnosis Indication  
Complaint/Symptom Neck Pain
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Complaint/Symptom Neck Pain
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Complaint/Symptom Neck Pain
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Complaint/Symptom Muscle Spasm
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Complaint/Symptom Neck pain with radiation
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Complaint/Symptom Neck pain with radiation
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Complaint/Symptom Neck pain with radiation
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Complaint/Symptom Neck pain with radiation
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Complaint/Symptom Neck pain with radiation
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Complaint/Symptom Neck pain with radiation
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Complaint/Symptom Neck pain with radiation
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Complaint/Symptom Neck pain with radiation
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Complaint/Symptom Neck pain with radiation
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Complaint/Symptom Neck pain with radiation
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Complaint/Symptom Neck pain with radiation
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Complaint/Symptom Neck pain with radiation
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Complaint/Symptom Neck pain with radiation
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Complaint/Symptom Neck pain with radiation
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Complaint/Symptom Neck pain with radiation
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Complaint/Symptom Neck pain with radiation
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Complaint/Symptom Neck pain with radiation
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Complaint/Symptom Neck pain with radiation
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Complaint/Symptom Neck pain with radiation
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Complaint/Symptom Neck pain secondary to trauma
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Complaint/Symptom Neck pain secondary to trauma
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Complaint/Symptom Neck pain secondary to trauma
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Complaint/Symptom Neck pain secondary to trauma
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Complaint/Symptom Neck pain secondary to trauma
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Complaint/Symptom Neck pain secondary to trauma
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Complaint/Symptom Neck pain secondary to trauma
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Complaint/Symptom Neck pain secondary to trauma
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Complaint/Symptom Neck pain secondary to trauma
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Complaint/Symptom Neck pain secondary to trauma
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Thoracic Spine

Complaint/Symptom Thoracic or upper back pain
Objective Thoracic paraspinal muscles tender, reduced range-of-motion, grossly and segmentally. Orthopedic and neurologic exams normal
Diagnosis Indication Pain in thoracic spine
ICD9 724.1
ICD10 M54.6
Complaint/Symptom Thoracic or upper back pain
Objective Segmental misalignment
Diagnosis Indication Segmental somatic dysfunction thoracic region (Medicare subluxation)
ICD9 739.2
ICD10 M99.02
Complaint/Symptom Thoracic or upper back pain
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Complaint/Symptom Thoracic or upper back pain
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Complaint/Symptom Thoracic or upper back pain
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Complaint/Symptom Thoracic or upper back pain
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Complaint/Symptom Thoracic or upper back pain
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Complaint/Symptom Thoracic or upper back pain
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Complaint/Symptom Thoracic or upper back pain
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Complaint/Symptom Muscle Spasm
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Complaint/Symptom Muscle Spasm
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Complaint/Symptom Thoracic pain with radiation to the back or arm
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Complaint/Symptom Thoracic pain with radiation to the back or arm
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Complaint/Symptom Thoracic pain with radiation to the back or arm
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Complaint/Symptom Thoracic pain with radiation to the back or arm
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Complaint/Symptom Thoracic pain with radiation to the back or arm
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Complaint/Symptom Thoracic pain with radiation to the back or arm
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Complaint/Symptom Thoracic pain with radiation to the back or arm
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Complaint/Symptom Thoracic pain with radiation to the back or arm
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Complaint/Symptom Thoracic pain with radiation to the back or arm
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Complaint/Symptom Thoracic pain with radiation to the back or arm
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Complaint/Symptom Thoracic pain with radiation to the back or arm
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Complaint/Symptom Thoracic spine pain secondary to trauma
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Complaint/Symptom Thoracic spine pain secondary to trauma
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Complaint/Symptom Thoracic spine pain secondary to trauma
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Complaint/Symptom Thoracic spine pain secondary to trauma
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Complaint/Symptom Thoracic spine pain secondary to trauma
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Complaint/Symptom Thoracic spine pain secondary to trauma
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Lumbar Spine

Complaint/Symptom Lower back pain
Objective Lumbar paraspinal muscles tender, reduced range-of-motion, grossly and segmentally. Orthopedic and neurologic exams normal
Diagnosis Indication Low back pain (lumbago)
ICD9 724.2
ICD10 M54.5
Complaint/Symptom Lower back pain
Objective Segmental misalignment
Diagnosis Indication Segmental and somatic dysfunction, lumbar region (Medicare subluxation)
ICD9 739.3
ICD10 M99.03
Complaint/Symptom Lower back pain
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Diagnosis Indication  
Complaint/Symptom Lower back pain
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Complaint/Symptom Lower back pain
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Complaint/Symptom Lower back pain
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Complaint/Symptom Lower back pain
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Complaint/Symptom Lower back pain
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Complaint/Symptom Lower back pain
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Complaint/Symptom Lower back pain
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Complaint/Symptom Muscle Spasm
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Complaint/Symptom Muscle Spasm
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Complaint/Symptom Acute or chronic low back with radiation to leg
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Complaint/Symptom Acute or chronic low back with radiation to leg
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Complaint/Symptom Acute or chronic low back with radiation to leg
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Complaint/Symptom Acute or chronic low back with radiation to leg
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Complaint/Symptom Acute or chronic low back with radiation to leg
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Complaint/Symptom Acute or chronic low back with radiation to leg
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Complaint/Symptom Acute or chronic low back with radiation to leg
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Complaint/Symptom Acute or chronic low back with radiation to leg
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Complaint/Symptom Acute or chronic low back with radiation to leg
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Complaint/Symptom Acute or chronic low back with radiation to leg
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Complaint/Symptom Acute or chronic low back with radiation
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Complaint/Symptom Acute or chronic low back with radiation
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Complaint/Symptom Acute or chronic low back with radiation
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Complaint/Symptom Acute or chronic low back with radiation
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Complaint/Symptom Acute or chronic low back with radiation
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Complaint/Symptom Acute or chronic low back with radiation
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Complaint/Symptom Acute or chronic low back with radiation
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Complaint/Symptom Acute or chronic low back with radiation
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Complaint/Symptom Acute or chronic low back with radiation
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Complaint/Symptom Acute or chronic low back with radiation
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Complaint/Symptom Acute or chronic low back with radiation
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Complaint/Symptom Acute or chronic low back with radiation
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Complaint/Symptom Acute or chronic low back with radiation
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Complaint/Symptom Acute or chronic low back with radiation
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Complaint/Symptom Lumbar spine pain secondary to trauma
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Complaint/Symptom Lumbar spine pain secondary to trauma
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Complaint/Symptom Lumbar spine pain secondary to trauma
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Complaint/Symptom Lumbar spine pain secondary to trauma
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Complaint/Symptom Lumbar spine pain secondary to trauma
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Complaint/Symptom Lumbar spine pain secondary to trauma
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Complaint/Symptom Lumbar spine pain secondary to trauma
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Complaint/Symptom Lumbar spine pain secondary to trauma
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Complaint/Symptom Lumbar spine pain secondary to trauma
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Complaint/Symptom Lumbar spine pain secondary to trauma
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