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M99.05

Billable

Segmental and somatic dysfunction of pelvic region

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A condition where bones, joints, and muscles in the pelvis and hip area are misaligned or not functioning properly, often causing pain or restricted movement.

Coding Tips

  • •This code is used by chiropractors and osteopathic physicians; verify the provider's specialty before assigning
  • •Document the specific anatomical location within the pelvic region for accurate coding

Code Hierarchy

└M99Biomechanical lesions, not elsewhere classified└M99.0Segmental and somatic dysfunction└M99.05Segmental and somatic dysfunction of pelvic region
└M99.05Segmental and somatic dysfunction of pelvic region

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