Frequently Asked Questions

Does DMX really help patient outcomes?

Yes! With DMX, we can see ligament injuries that are often missed on conventional imaging such as static X-ray, CT, and MRI. We can prove levels of ligament injury, allowing the doctor to better pinpoint cause of symptoms, create more effective treatment protocols, and provide more accurate prognosis.

I am a surgeon. How can this help my patients?
Watching a joint in motion gives you the unique opportunity to view functionality like never before. You will be able to pinpoint which ligaments/bones are injured, what areas of a healing joint still have adhesions or need therapy, how surgical hardware moves in a joint, even locate malfunctioning hardware. This allows for better diagnosis, may aid in surgical planning, and helps to tailor treatment protocols to the patient.
I am a chiropractor/physical therapist. How can this help my patients?

DMX allows for specific diagnosis of ligament instability and sometimes even missed fractures/dislocations of the spine. Pinpointing areas of lesion can help you refine your treatment protocols and improve patient outcomes. DMX scans and reports are invaluable as documentation of injury in PI cases. Research has been published supporting DMX as diagnostic for craniocervical and cervical instability in automobile crash cases. You will be able to prove that your patient may not be healed in 4-6 weeks (as insurance company IME’s like to claim,) and may even have suffered long term, life altering affects. When requested, we can add relevant peer reviewed research to the DMX radiology report that supports those statements. Complex cases that do not respond as well as others may benefit greatly from DMX imaging.

I am a general physician. How can this help my patients?
DMX allows for specific diagnosis of ligament instability and sometimes even missed fractures/dislocations of the spine. Pinpointing areas of lesion can help diagnosis the source of a patient’s symptoms, helps you to refine your treatment protocols, and can provide guidance in referral options for your patient if need be. DMX scans and reports are invaluable as documentation of injury in PI cases. Research has been published supporting DMX as diagnostic for joint injury and instability in automobile crash and other personal injury cases. You will be able to prove that your patient may not be healed in 4-6 weeks (as insurance company IME’s like to claim,) and may even have suffered long term, life altering affects. When requested, we can add relevant peer reviewed research to the DMX radiology report that supports those statements. Complex cases that do not respond as well as others may benefit greatly from DMX imaging.
What are the CPT codes used for DMX scans?

76496 Diagnostic Fluoroscopic Interventional Imaging Procedure

76499-22 DMX Diagnostic Radiologic Imaging Procedure, Comprehensive Interpretation

The patient’s insurance company wants more explanation of those codes.
Does insurance pay for DMX scans?

MedPay and most auto insurance policies will cover DMX scans. Some major medical policies will cover it, especially if the referring doctor codes it well and is well versed in how to communicate the need for DMX in notes or peer to peer reviews. However, DMX of Iowa does not accept assignment (we do not receive payment from insurance policies.) We receive payment for imaging at time of service. Patients will receive a superbill to turn in to their company, and their company will send them a check for what is covered.

Exception- If MedPay benefits of your auto policy are not exhausted, we will send billing to them for reimbursement directly to us. The patient is responsible for any charges that exceed MedPay benefits.

Can you provide advice on coding, etc. to help achieve insurance approval for DMX?
Yes. Please contact our office with details about the specific case in question and we will provide what we can.
Does this have to go through insurance?
No. We accept cash, credit cards, and checks.