Nonallopathic lesions, lower extremities

This code signifies a somatic dysfunction or segmental dysfunction affecting the lower extremities, which is amenable to non-allopathic manipulative treatment. It represents impaired or altered function of related components of the somatic system, including skeletal, arthrodial, and myofascial structures, and related vascular, lymphatic, and neural elements.

Use this code when documentation specifies a nonallopathic lesion or somatic dysfunction localized to the hip, thigh, knee, lower leg, ankle, or foot. This typically applies when a patient presents with pain, restricted range of motion, or tenderness in these areas, and a chiropractor, osteopathic physician, or other qualified provider identifies a treatable somatic dysfunction.

• Ensure the documentation clearly specifies "somatic dysfunction" or "nonallopathic lesion" and the affected lower extremity segment.
• Do not use this code for conditions solely due to trauma, inflammation, or degenerative changes without an explicit diagnosis of somatic dysfunction.
• This code is often used in conjunction with E/M codes and codes for manipulative treatment (e.g., CPT codes from the 98925-98929 series).