In simple words: The doctor uses their hands to apply pressure and manipulate muscles and joints in three to four areas of your body. This treatment helps to improve movement, reduce pain, and address problems related to how your body's framework (bones, muscles, joints, nerves, etc.) is working.

This code represents osteopathic manipulative treatment (OMT) performed on three to four body regions. OMT is a form of manual treatment used to diagnose and treat somatic dysfunction, which refers to impaired or altered function of related components of the somatic (body framework) system: skeletal, arthrodial, and myofascial structures, and related vascular, lymphatic, and neural elements.The physician uses a variety of techniques to alleviate somatic dysfunction and related disorders.These body regions include the head, cervical, thoracic, lumbar, sacral, pelvic regions, lower extremities, upper extremities, rib cage, abdomen, and viscera.

Example 1: A patient presents with lower back pain radiating into the right leg, along with restricted lumbar spinal movement. The physician performs OMT on the lumbar, sacral, and pelvic regions, as well as the right lower extremity, to address the somatic dysfunction contributing to the patient’s symptoms., A patient experiences headaches and neck stiffness. The physician performs OMT on the head, cervical, and thoracic regions to improve mobility and relieve tension., A patient with shoulder pain and limited range of motion receives OMT focused on the thoracic region, rib cage, and upper extremity.

Documentation should include the patient's presenting complaint, history of present illness, physical exam findings related to somatic dysfunction (e.g., tenderness, asymmetry, range of motion restrictions), the specific body regions treated, the type of OMT techniques used, and the treatment response. Any separately identifiable E/M service performed on the same day should also be documented with the appropriate level of E/M and modifier 25.