What is the correct diagnosis order for CMS visits?

• A. Condition related to subluxation first, then subluxation
• B. Only subluxation
• C. Subluxation first, followed by the condition related to subluxation (spasm, TP, etc.)
• D. Only the related condition

Answer: (C)

The diagnostic sequence in CMS visits centers on identifying the primary structural issue before the secondary tissue responses. Subluxation is the initiating problem that disrupts biomechanics and can trigger muscle guarding, leading to spasm and trigger points. By documenting the subluxation first, you establish the root cause and set a clear direction for treatment, which often helps reduce the secondary symptoms once the alignment issue is addressed. If you focused only on the related condition, you’d miss the underlying misalignment; if you documented only the subluxation, you’d overlook the symptomatic muscle changes that guide comfort and function. So, subluxation first, followed by the related condition, best reflects how these problems develop and informs the management plan.