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An osteopathic manipulative treatment (OMT) is a hands-on therapeutic approach utilized by osteopathic physicians to address somatic dysfunctions within the body. This treatment method employs various techniques that are akin to those found in physical therapy and chiropractic care, focusing on the manipulation of muscles, bones, and joints. The primary objective of OMT is to facilitate the body's inherent ability to heal itself by alleviating restrictions and blockages in the musculoskeletal system. OMT can be administered 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 thrusts, myofascial release, and lymphatic pumping. The muscle energy technique emphasizes the use of muscle stretching and contracting to improve mobility and function. Counter strain is a method that addresses inappropriate strain reflexes by applying gentle pressure in the opposite direction of the reflex, promoting relaxation. High-velocity low-amplitude thrusts involve delivering a quick, controlled force to a specific joint within its anatomical range of motion to release restrictions and restore function. Myofascial release is a soft tissue technique that utilizes palpation to ease contracted muscles, enhancing blood circulation and lymphatic drainage. Lastly, lymphatic pumping employs manual pressure to facilitate the movement of lymph fluid through the lymphatic system, supporting overall health and recovery. CPT® Code 98928 specifically pertains to OMT procedures involving 7-8 body regions, distinguishing it from other codes that categorize OMT based on the number of body regions treated, such as codes 98925 for 1-2 regions, 98926 for 3-4 regions, 98927 for 5-6 regions, and 98929 for 9-10 regions.
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