Osteopathy in diseases classified elsewhere, multiple sites

This code signifies osteopathic manifestations that are secondary to or associated with another underlying disease process, affecting multiple skeletal sites. It indicates bone involvement that is not primarily an intrinsic bone disease but rather a complication or feature of a systemic condition.

Use this code when documentation specifies osteopathy occurring as a manifestation of a systemic disease (e.g., metabolic, endocrine, or inflammatory conditions) and affecting more than one distinct anatomical region. The underlying systemic disease should be coded first, followed by this code to specify the osteopathic involvement.

• Always sequence the underlying systemic disease code first, as this code describes a manifestation.
• Ensure documentation clearly states "multiple sites" or lists several affected areas; otherwise, a site-specific code may be more appropriate.
• Distinguish from primary bone disorders (e.g., osteoporosis, osteomalacia) which have their own specific codes.