Chiropractic peer reviewers often bring up the fact that the treatment was on a part of the body other than spine and they conclude (erroneously) that that deems the treatment medically unnecessary.

New York State law authorizes chiropractors to work on parts of the body other than the spine as long as the purpose of the treatment is “removing nerve interference and the effects thereof, where such interference is the result of or related to distortion, misalignment, or subluxation of or in the vertebral column.” (Opinion letter dated April 17, 2001 from Norman G. Cohen, Executive Secretary of the New York State Board for Chiropractic of the New York State Education Department). A second letter also dated April 17, 2001 from Mr. Cohen further provides: “Consequently, to remove nerve interference and its effects, a chiropractor may detect and correct structural imbalance, distortion or subluxation in the human body, including extraspinal parts….”

See Bronx Chiropractic Services,PC v. American Transit Insurance Company

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