When an MD is armed only with a prescription pad, the treatment regime for the common cold is fairly predictable. Consider how 1,439 patients in 2,144 medical encounters were treated for the common cold:
Antibiotics Prescription Only -- 32%
Symptomatic Medication Prescription Only -- 6%
Antibiotics and Symptomatic Medication -- 28%
Never Filled the Prescription -- 35%
While over one-third of the patients never bothered to get the antibiotic prescriptions filled, the 60 percent who did contributed to what the authors describe as a misuse of antibiotics by MDs, which, conservatively, is a $37.5 million annual expenditure in the U.S.
SOURCE: Mainous AG, Hueston WJ, Clark JR. Antibiotics and upper respiratory infection. J Fam Pract 1996; 42:357-361.
Recent laws in New Jersey and California represent a disturbing trend that will negatively impact a practice’s ability to collect monies from patients, as well as expose them to significant penalties if the practice does not follow the mandatory guidelines to a T. Please be aware that a similar law may be coming to your state. The time to act is before the law is passed.
With estimates showing over 30 million Americans affected by peripheral neuropathy – and a significant portion underdiagnosed – it’s increasingly likely that chiropractors are already treating these patients. What’s missing is structured recognition, comprehensive management and targeted tools to slow progression, improve function and support systemic health.
Each year, ICD-10-CM is updated on Oct. 1. For 2026, there are 74,179 total codes, with 487 additions, 28 deletions and 38 revisions. Code changes are based on date of service, not the claim submission date. Services performed on/after Oct. 1 must use the new codes. While no changes affect the common spinal or extraspinal codes most frequently used by DCs, several updates may still affect your claims – particularly for comorbidities, referred pain, or trauma cases.
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