M99.01 – Segmental and somatic dysfunction of cervical region

M99.01  diagnosis code: segmental and somatic dysfunction of cervical region

• M99.01 is a valid ICD-10-CM diagnosis code used to document segmental and somatic dysfunction in the cervical region, commonly associated with neck pain, stiffness, and limited range of motion. This dysfunction involves abnormal function of the spinal joints and surrounding soft tissues and is frequently seen in musculoskeletal assessments.
• This condition falls under the broader classification of biomechanical lesions not elsewhere classified, specifically involving the musculoskeletal system and connective tissue structures. Patients may present with altered joint mobility, muscle tightness, and even neural involvement, which can impact sensation and movement.
• M99.01 is especially relevant for reimbursement purposes, allowing healthcare providers to accurately code cases of cervical dysfunction during billing. It is used when no more specific diagnosis exists, aligning with cases of lesions not elsewhere classified.
• In clinical settings, physical exams and imaging techniques like MRIs or X-rays are used to identify dysfunction. While most commonly affecting the cervical spine, similar dysfunctions can appear in other spinal regions, including the thoracic region, lumbar region, pelvic region, sacral region, and even as cervicothoracic region segmental dysfunction.
• Treatment often includes manual therapy, physical therapy, stretching, and medications to address inflammation or discomfort. Proper coding ensures clear documentation and aids in tracking patient outcomes and medical claims.

Is M99.01 billable?

Yes, this is a billable code. Healthcare providers can use this code on their billing forms when they provide services to diagnose, treat, or manage this specific condition.

Additional clinical information

• This condition primarily affects the cervical region of the spine, specifically targeting the neck area where nerves, muscles, and joints interact. The segmental and somatic dysfunction represented by this specific code may develop due to chronic postural problems, physical strain, or injury.
• As defined under the World Health Organization’s ICD-10-CM system, this specific code helps clinicians identify biomechanical impairments that may contribute to complications such as persistent neck pain, muscle stiffness, or nerve irritation.
• Diagnosis often includes a thorough physical examination combined with imaging tests such as X-rays or MRI to evaluate joint alignment and nerve involvement.
• Treatment is typically conservative and may involve physical therapy, corrective exercises, and pain-relief medications. The main goal is to restore normal motion, improve nerve function, and minimize pain to prevent further complications.

Synonyms include:

• Cervical segmental dysfunction
• Cervical somatic dysfunction
• Cervical spine biomechanical lesion
• Neck segmental dysfunction
• Neck somatic dysfunction
• Cervicothoracic segmental dysfunction
• Finding of sensation of musculoskeletal structure of neck
• Pain in cervical spine
• Somatic dysfunction of cervicothoracic region
• Thoracic back pain
• Thoracic segmental dysfunction

Other ICD-10 codes commonly used for segmental and somatic sysfunction

• M99.02 - Segmental and somatic dysfunction of thoracic region
• M99.03 - Segmental and somatic dysfunction of lumbar region
• M99.04 - Segmental and somatic dysfunction of sacral region
• M99.05 - Segmental and somatic dysfunction of pelvic region
• M99.06 - Segmental and somatic dysfunction of lower extremity
• M99.07 - Segmental and somatic dysfunction of upper extremity
• M99.08 - Segmental and somatic dysfunction of rib cage
• M99.09 - Segmental and somatic dysfunction of head region