Dr. Mark Reps is a chiropractor and certified acupuncturist with 35 years of clinical experience. He is a 1980 graduate of Northwestern Health Sciences University and served as an associate clinical professor at NWHSU. In addition to his part-time clinical practice, he serves as a chiropractic advisor / consultant on the board of TCMzone, LLC; writes an alternative / natural health column for a half-dozen Minnesota newspapers; and has published four mystery novels. He is currently working with Dan Wen, MD (China) on educating chiropractors on the use of herbal medications in clinical practice. He will soon release his book, Perfect Health: Why Be Sick When You Can Be Well.
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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