Segmental and somatic dysfunction of cervical region

This code signifies a biomechanical impairment in the cervical spine, characterized by altered joint mechanics, restricted motion, and/or tenderness in one or more vertebral segments. It reflects a functional disturbance rather than a structural defect or inflammatory process. This dysfunction can lead to pain, stiffness, and neurological symptoms in the neck and upper extremities.

Apply this code when documentation indicates findings such as hypomobility, hypermobility, asymmetry, or tissue texture changes within the cervical spine. This is commonly diagnosed by osteopathic physicians, chiropractors, and physical therapists during musculoskeletal examinations. Supporting documentation should clearly identify the cervical region as the site of the segmental or somatic dysfunction.

• Do not confuse this with codes for specific cervical spine disorders like disc herniation or spondylosis, which have their own distinct codes.
• This code is often used as a primary diagnosis for manual therapy, osteopathic manipulative treatment (OMT), or chiropractic manipulative treatment (CMT).
• Ensure the medical record specifies "cervical region" to support the anatomical specificity of this code.