ICD Code M99.05

ICD code M99.05 is segmental and somatic dysfunction of the pelvic region, indicating abnormal function or movement in the joints or tissues of the pelvis.

1. Presence of pain, discomfort, or restricted motion localized to the pelvic region

2. Palpable tissue texture changes or asymmetry in the pelvic area

3. Altered range of motion or joint mobility in the pelvic joints

4. Evidence of somatic dysfunction identified through physical examination, such as tenderness or abnormal muscle tone in the pelvic region

5. Absence of underlying systemic disease or structural abnormality explaining the symptoms

6. Symptoms not attributable to acute trauma, infection, or neoplastic processes

Relevant CPT codes that may be used to treat ICD code M99.05 include:

98925 – Osteopathic manipulative treatment (OMT); 1-2 body regions involved

98926 – OMT; 3-4 body regions involved

98927 – OMT; 5-6 body regions involved

98928 – OMT; 7-8 body regions involved

98929 – OMT; 9-10 body regions involved

97140 – Manual therapy techniques, 1 or more regions, each 15 minutes

99201-99215 – Evaluation and management services (as appropriate for new or established patients)

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