Dr. Brian Budgell is the director of the Laboratory of Neurophysiology at Canadian Memorial Chiropractic College. Before joining CMCC, he served as associate professor in the School of Health Sciences, Faculty of Medicine at Kyoto University in Japan; and then professor in the Département de Chiropratique at the Université du Québec à Trois-Rivières. Dr. Budgell operated a full-time clinical practice for approximately six years before turning to a career in research, and has numerous book chapter contributions and peer-reviewed papers to his credit. His current research focuses on the effects of somatic stimulation on spinal cord blood flow, and the influence of spinal cord compression on the modulation of somato-autonomic reflexes.
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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