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An osteopathic manipulative treatment (OMT) is a hands-on therapeutic approach that utilizes various techniques to address somatic dysfunction, which refers to impaired or altered function of the body's musculoskeletal system. This treatment modality is akin to methods used in physical therapy and chiropractic care, focusing on the manipulation of muscles, bones, and joints to restore balance and function. The overarching aim of OMT is to promote the body's inherent ability to heal itself by alleviating restrictions and blockages within the musculoskeletal system. OMT can be employed as a standalone treatment or in conjunction with other medical interventions such as pharmacotherapy, surgical procedures, rehabilitation programs, patient education, dietary modifications, and exercise regimens. The techniques involved in OMT are diverse and include muscle energy, counter strain, high-velocity low-amplitude, myofascial release, and lymphatic pumping. The muscle energy technique involves the patient actively contracting their muscles against a resistance provided by the practitioner, which helps to stretch and strengthen the muscles. The counter strain technique addresses inappropriate strain reflexes by applying a gentle strain in the opposite direction of the reflex, thereby alleviating discomfort. High-velocity low-amplitude techniques involve delivering a quick, controlled force to a specific joint within its anatomical range of motion to release restrictions and improve mobility. Myofascial release is a soft tissue technique that employs palpation to identify and relax contracted muscles, enhancing blood circulation and lymphatic drainage. Lastly, lymphatic pumping involves the application of manual pressure to facilitate the movement of lymph fluid through the lymphatic system, promoting overall health and recovery. CPT® Code 98927 specifically refers to OMT performed on 5-6 body regions, distinguishing it from other codes that categorize OMT based on the number of body regions involved, such as codes 98925 for 1-2 regions, 98926 for 3-4 regions, 98928 for 7-8 regions, and 98929 for 9-10 regions.
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The indications for osteopathic manipulative treatment (OMT) using CPT® Code 98927 include a variety of conditions that may benefit from the manipulation of the musculoskeletal system. These indications may encompass:
The procedure for osteopathic manipulative treatment (OMT) as described by CPT® Code 98927 involves several key steps that are performed by a qualified osteopathic physician. Each step is designed to address specific areas of somatic dysfunction across 5-6 body regions.
Following the osteopathic manipulative treatment (OMT) performed under CPT® Code 98927, patients may experience immediate relief from pain and improved mobility. It is common for patients to be advised on post-procedure care, which may include recommendations for rest, hydration, and gentle stretching exercises to maintain the benefits of the treatment. Patients may also be encouraged to engage in follow-up appointments to monitor progress and address any ongoing issues. It is important for patients to report any unusual discomfort or adverse reactions following the treatment to their healthcare provider for further evaluation. Overall, the expected recovery time can vary based on individual conditions and the extent of manipulation performed, but many patients find significant improvement in their symptoms shortly after the procedure.
| Short Descr | OSTEOPATH MANJ 5-6 REGIONS | Medium Descr | OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS | Long Descr | Osteopathic manipulative treatment (OMT); 5-6 body regions involved | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | STV-Packaged Codes | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 215 - Other physical therapy and rehabilitation |
| GC | This service has been performed in part by a resident under the direction of a teaching physician | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | GA | Waiver of liability statement issued as required by payer policy, individual case | PO | Excepted service provided at an off-campus, outpatient, provider-based department of a hospital | CR | Catastrophe/disaster related | 25 | Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service: it may be necessary to indicate that on the day a procedure or service identified by a cpt code was performed, the patient's condition required a significant, separately identifiable e/m service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. a significant, separately identifiable e/m service is defined or substantiated by documentation that satisfies the relevant criteria for the respective e/m service to be reported (see evaluation and management services guidelines for instructions on determining level of e/m service). the e/m service may be prompted by the symptom or condition for which the procedure and/or service was provided. as such, different diagnoses are not required for reporting of the e/m services on the same date. this circumstance may be reported by adding modifier 25 to the appropriate level of e/m service. note: this modifier is not used to report an e/m service that resulted in a decision to perform surgery. see modifier 57 for significant, separately identifiable non-e/m services, see modifier 59. | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | GE | This service has been performed by a resident without the presence of a teaching physician under the primary care exception | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition | GZ | Item or service expected to be denied as not reasonable and necessary | JZ | Zero drug amount discarded/not administered to any patient | KX | Requirements specified in the medical policy have been met | PN | Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | X2 | Continuous/focused services: for reporting services by clinicians whose expertise is needed for the ongoing management of a chronic disease or a condition that needs to be managed and followed with no planned endpoint to the relationship; reporting clinician service examples include but are not limited to: a rheumatologist taking care of the patient's rheumatoid arthritis longitudinally but not providing general primary care services | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter |
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| 2013-01-01 | Changed | Short Descriptor changed. |
| 2009-01-01 | Changed | Code description changed |
| 1994-01-01 | Added | First appearance in code book in 1994. |
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