Segmental and somatic dysfunction of upper extremity

This code signifies impaired biomechanical or physiological function of a segment of the musculoskeletal system within the upper extremity. It involves a disturbance in the normal interrelationship of bones, muscles, and connective tissues, often characterized by altered joint motion, tenderness, tissue texture changes, and asymmetry.

Apply this code when documentation indicates a diagnosis of somatic dysfunction affecting the shoulder, arm, elbow, forearm, wrist, or hand. This diagnosis is typically made by a physician, particularly osteopathic physicians, based on palpation and physical examination findings.

• Ensure the documentation clearly specifies "somatic dysfunction" and identifies the upper extremity as the affected region.
• Do not confuse with codes for specific joint derangements (e.g., M24.xx) or nerve entrapments (e.g., G56.xx) unless somatic dysfunction is also explicitly diagnosed.
• This code is often used in conjunction with codes for osteopathic manipulative treatment (OMT) or chiropractic manipulative treatment (CMT).