Segmental and somatic dysfunction of rib cage

This code signifies a biomechanical impairment or altered function within the rib cage, specifically involving one or more segments of the thoracic spine and associated ribs. It indicates a disturbance in the normal motion, position, or quality of movement of the vertebral and costal joints, often leading to pain and restricted range of motion. This dysfunction is not due to a fracture, dislocation, or other structural pathology.

Apply this code when documentation describes findings such as rib subluxation, costovertebral or costotransverse joint dysfunction, or somatic dysfunction localized to the thoracic region and ribs. It is appropriate for patients presenting with localized thoracic or rib pain, tenderness, and restricted segmental motion identified during a physical examination. Supporting documentation should clearly indicate a diagnosis of segmental and somatic dysfunction of the rib cage, often identified by osteopathic or chiropractic manipulative treatment providers.

• Do not use this code for conditions like rib fractures, costochondritis, or pleurisy; these have more specific codes.
• Ensure the documentation specifies "segmental and somatic dysfunction" or similar terms indicating a functional impairment rather than a structural injury.
• This code is often used in conjunction with codes for manipulative treatment (e.g., CPT codes from the 98925-98929 series for osteopathic manipulative treatment or 98940-98943 for chiropractic manipulative treatment).