Nonallopathic lesions, pelvic region

This code describes somatic dysfunction or segmental dysfunction specifically affecting the pelvic region. It indicates impaired or altered function of related components of the somatic system, including skeletal, arthrodial, and myofascial structures, and related vascular, lymphatic, and neural elements. This dysfunction is not due to an allergic reaction or other systemic disease.

Use this code when documentation clearly indicates a diagnosis of somatic dysfunction localized to the pelvis, including the sacrum, ilium, and pubic bones. This diagnosis is typically made by a chiropractor, osteopathic physician, or physical therapist based on palpation and range of motion assessment. Supporting documentation should specify "somatic dysfunction of the pelvis" or "nonallopathic lesion of the pelvic region."

• Do not use this code for pain in the pelvic region without a documented diagnosis of somatic dysfunction.
• Ensure the documentation specifies "pelvic region" to differentiate from somatic dysfunction in other spinal or extraspinal areas.
• This code is often used in conjunction with E/M services or manipulative treatment (e.g., osteopathic manipulative treatment or chiropractic manipulative treatment).