PURPOSE: This rule advises chiropractic physicians concerning the use of X rays and overutilization.

1. (1) A chiropractic physician shall not overutilize or otherwise improperly use ionizing radiation. In order to avoid overutilization of ionizing radiation, a chiropractic physician shall observe the following guidelines:

   1. (A) Routine radiography of any patient shall not be performed without due regard for clinical need;
   2. (B) Any offer or advertising of free X-rays to actual or potential patients shall be accompanied by the statement—“if necessary”; and
   3. (C) Repeat radiographic evaluation of the patient shall not be undertaken without significant observable clinical indication, as determined by the treating chiropractic physician. The significant observable indication required by this subsection shall not apply to reevaluations of the spinal subluxation complex. The spinal subluxation complex is determined to be a significant observable indication.
2. (2) The licensee must register the X-ray equipment with the Bureau of Radiological Health, Missouri Department of Health, P.O. Box 570, Jefferson City, MO 65102, (314) 751-6083 every two (2) years.
3. (3) The licensee must maintain X-ray equipment in compliance with state rules of the Missouri Department of Health.
4. (4) Violation of this rule is considered unprofessional conduct and is grounds for disciplinary action.

AUTHORITY: section 331.100.2, RSMo 1986.* This rule originally filed as 4 CSR 70- 2.025. Original rule filed April 16, 1990, effective June 30, 1990. Amended: Filed Feb. 4, 1991, effective July 8, 1991. Moved to 20 CSR 2070-2.025, effective Aug. 28, 2006.

*Original authority: 331.100.2, RSMo 1939, amended 1949, 1969, 1980, 1981. 20 CSR 2070-2