ICD Code M99.01

ICD code M99.01 is a classification used to identify segmental and somatic dysfunction of the cervical region, which refers to a disorder affecting the vertebrae and associated structures in the neck area. This dysfunction can lead to pain, restricted movement, or other symptoms due to misalignment or impaired function of the cervical spine.

1. Neck Pain: Persistent or recurrent pain localized in the cervical region, often exacerbated by movement or palpation.

2. Limited Range of Motion: Difficulty or restriction in moving the neck in various directions, such as flexion, extension, lateral bending, or rotation.

3. Muscle Spasms: Involuntary contractions or tightness of the neck muscles, which may be palpable or visible.

4. Stiffness: A sensation of rigidity or inflexibility in the neck, often accompanied by discomfort.

5. Headaches: Cervicogenic headaches that originate from the cervical spine, often presenting as unilateral pain that may radiate to the forehead, temples, or behind the eyes.

6. Referred Pain: Pain that originates in the cervical region but is perceived in other areas, such as the shoulders, upper back, or arms.

7. Postural Imbalance: Observable misalignment or asymmetry in the posture of the head and neck, potentially leading to compensatory changes in other parts of the body.

8. Tenderness on Palpation: Sensitivity or discomfort when pressure is applied to specific areas of the cervical spine or surrounding musculature.

9. Functional Impairment: Difficulty performing daily activities that involve neck movement, such as driving, working at a computer, or sleeping comfortably.

10. History of Trauma or Injury: Previous incidents such as whiplash, falls, or sports injuries that may have contributed to dysfunction in the cervical region.

For the ICD code M99.01, which pertains to segmental and somatic dysfunction of the cervical region, the relevant CPT codes that may be applicable for treatment include:

1. 98940 - Chiropractic manipulative treatment (CMT); spinal, one to two regions.
2. 98941 - Chiropractic manipulative treatment (CMT); spinal, three to four regions.
3. 98942 - Chiropractic manipulative treatment (CMT); spinal, five regions.
4. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility.
5. 97112 - Neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and proprioception.
6. 97140 - Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes.

These CPT codes are commonly used in conjunction with the ICD code M99.01 for billing purposes in healthcare settings. It is important for healthcare providers to ensure accurate coding to facilitate proper reimbursement and compliance with healthcare regulations.

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