Mo. Code Regs. tit. 20 § 2070-2.030
Current through Register Vol. 49, No. 24, December 16, 2024
Section 20 CSR 2070-2.030 - Diagnostic and Adjunctive ProceduresPURPOSE: This amendment provides information regarding the diagnostic and adjunctive procedures used by chiropractic physicians when treating patients.
PURPOSE: This rule outlines diagnostic and adjunctive procedures that may be used by chiropractic physicians.
(1) The board approves the use of those diagnostic procedures and instruments which are commonly taught by approved chiropractic colleges.(2) Diagnostic procedures approved by the board include, but are not limited to, the following-(A) Physical Examination: 1. Inspection, including the use of instrumentation such as an ophthalmoscope, otoscope, tongue-depressor, tape measure, thermometer, percussion hammer, pinwheel, sphygmomanome-ter, proctoscope, nervoscope, neurocalometer, neurodermagraph, electromyograph, heartometer, phonocardiograph, electrocardiograph, spirometer, vitalor, visual acuity charts, weight measurement scales, dermathermagraph, vasculizer, and routine orthopedic and neurologic procedures;3. Auscultation, including the use of a stethoscope, tuning forks, audiograph, and phonocardiograph.(B) Diagnostic imaging: 1. Motionless diagnostic X-ray study;4. Magnetic Resonance Imaging (MRI);5. Computerized Axial Tomography (CT SCAN);7. Magnetic Resonance Angiogram (MRA).(C) Clinical laboratory tests: (D) Muscle testing with strength and endurance curves during isometric or isokinetic exercise.(3) Those adjunctive chiropractic procedures presently approved by the board include, but are not limited to: (A) Heat and heat-producing devices;(B) Ice and cooling packs;(C) Extension therapy; or(D) Therapeutic exercise, muscle therapy, reflex techniques, and postural and structural supports.(4) In order to avoid overutilization of ionizing radiation, a chiropractic physician shall observe the following guidelines: (A) Routine radiography of any patient shall not be performed without due regard for clinical need; and(B) Repeat radiographic evaluation of the patient shall not be undertaken without clinical indication, as determined by the treating chiropractic physician.(5) The licensee shall comply with all applicable state and federal requirements concerning any registration or maintenance of X-ray equipment. AUTHORITY: section 331.010, RSMo 2000.* This rule originally filed as 4 CSR 70-2.030. This version of rule filed Dec. 17, 1975, effective Dec. 27, 1975. Amended: Filed July 5, 1978, effective Oct. 13, 1978. Rescinded and readopted: Filed July 9, 1982, effective Nov. 11, 1982. Amended: Filed July 31, 2003, effective Jan. 30, 2004. Moved to 20 CSR 2070-2.030, effective Aug. 28, 2006. Amended by Missouri Register September 2, 2019/Volume 44, Number 17, effective 10/31/2019*Original authority: 331.010, RSMo 1939, amended 1969, 1982, 1995.