Hospital Guidelines

DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
682 683	Abortion, Spontaneous OB FM	739.4 739.5	(probable location of somatic dysfunction) Somatic Dysfunction Sacral Region	129 to 134	OMT by housestaff to affected area(s) daily and record; or OMM consult for OMT prescription to be carried out by housestaff	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b. Documentation in Admit Note c. Osteopathic Orders in Order Sheet. d. Dysf Documentation in Progress Notes e. Documentation of Osteopathic Manipulation Treatment on all Discharge Summaries f. Documentation of Somatic Dysfunction as secondary diagnosis on Face Sheet. g. Check DRG/OMT Matrix Flow Sheet
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
243	Acalculous Choledo- cholithiasis FM GI Surgery	739.2	Somatic Dysfunction Thoracic Region	87 115	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be caried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
831	Anxiety Disorder FM IM Psych. Surgery	739.0 739.1	Somatic Dysfunction Cervical Region	6 110 114 116	OMT by housestaff to afected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
831	Anxiety Disorder	739.2	Somatic Dysfunction Thoracic Region	110 114 116	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
831	Anxiety Disorder	739.3	Somatic Dysfunction Lumbar Region	110 114 116	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
316 317	Appendicitis OB Surgery FM Peds	739.2	Somatic Dysfunction Thoracic Region	192	OMT by housestaff to afected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
185 186	Bronchitis, Acute and Chronic FM IM Pulmonary Peds	739.1 739.2	Somatic Dysfunction Cerevical, Thoracic Region	35 to 51 192	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
243 247	Cervicitis, Chronic OB FM	739.4 739.5	Somatic Dysfunction Sacral Region	129 to 132	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
48 49	Cephalgia (Musculo- skeletal, Vascular) FM IM Neurology Ortho	739.0 739.1	Somatic Dysfunction Head, Cervical Region	2, 6, 7, 14, 40, 44, 85, 93, 104, 139, 204, 231	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
261	Chest Pain, Non-Cardiac Rheumatology Cardiology FM IM Pulmonary GI	739.8 739.2	Somatic Dysfunction Ribs and Thoracic Region	40, 44 57, 58	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
52	Concussion FM IM Neurology Neuro- surgery	739.0 739.1	Somatic Dysfunction Head, Cervical, Region	11	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
252	Congestive Heart Failure FM Nephrology IM Cardiology	739.1 739.2	Somatic Dysfunction Cervical, Thoracic Region	55, 56, 66, 71, 72, 85, 185	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
255 256	Coronary Artery Disease FM IM Cardiology	739.1 739.2	Somatic Dysfunction Cervical, Thoracic Region	53 to 76	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
255 256	Coronary Insuffi- ciency FM IM Cardiology	739.1 739.2	Somatic Dysfunction Cervical, Thoracic Region	68 to 70	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
562 563	Cystocele OB FM Surgery	739.4 739.5	Somatic Dysfunction Sacral Region	123 to 127	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
529 530	Diabetes, Mellitus, All Types FM IM Endocrin Peds	739.2	Somatic Dysfunction Thoracic, Lumbar Region	7, 130	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
640 641 649	Endo- metriosis OB FM	739.4 739.5	Somatic Dysfunction Sacral Region	129 to 132	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
326 327 331	Gastritis Dueodenitis FM IM GI	739.2	Somatic Dysfunction Cervical, Thoracic Region	79 to 93	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
329 330 331	Gastro- enteritis FM IM GI Infectious	739.1 739.2	Somatic Dysfunction Thoracic Region	79 to 93, 110	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
313 314 315	Inguinal, Hernias Surgery FM Peds	739.2	Somatic Dysfunction Cervical, Thoracic Region	128, 129, 228	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
257 258	Hyper- tension FM IM Nephrology Cardiology Peds	739.1	Somatic Dysfunction Cervical Region	61 to 64, 184	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
257 258	Hyper- tension	739.2	Somatic Dysfunction Thoracic Region	61 to 64	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
257 258	Hyper- tension	739.3	Somatic Dysfunction Lumbar Region	61 to 64	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
257 258	Hyper- tension	739.4 739.5	Somatic Dysfunction Sacral Region	61 to 64	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
684 685 686	Labor, Premature OB FM	739.4 739.5	Somatic Dysfunction Sacral, Pelvic Region	149 to 156	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
757 757	Lympha- denitis FM IM Peds Infectious	739.1 739.2	Somatic Dysfunction Cervical, Thoracic Region	149, 150, 223	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
650 644 645	Ovarian Cysts OB FM	739.1 739.2	Somatic Dysfunction Sacral, Pelvic Region	131	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
133 134 135	Otitis Media, All Types FM ENT Peds Infectious	739.0 739.1	Somatic Dysfunction Head, Cervical Region	10, 15	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
651	Pelvic Inflammatory Disease FM	739.4 739.5	Somatic Dysfunction Sacral, Pelvic Region	129 to 145	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
670 to 677	Pregnancy, Term OB FM	739.3 739.4 739.5	Somatic Dysfunction Lumbar, Sacral, Pelvic Region	149 to 158	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
178 179 180	Pneumonia FM IM Peds Pulmonary	739.1 739.2	Somatic Dysfunction Cervical, Thoracic Region	38, 40 to 46, 85	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
166 173 175 177 187 188	Pulmonary, Chronic Disease FM IM Pulmonary	739.1 739.2	Somatic Dysfunction Cervical, Thoracic Region	33 to 51	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
427	Sprain & Strain Back (Cervical, Thoracic, Ribs) FM IM Trauma Ortho Rheuma	739.1	Somatic Dysfunction Cervical Region		OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
427	Sprain & Strain	739.2	Somatic Dysfunction Thoracic Region		OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
427 432	Sprain & Strain	739.3	Somatic Dysfunction Lumbar Region		OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
427 430 432 436 437	Sprain & Strain	739.4 739.5	Somatic Dysfunction Sacral Region		OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
427 430 432 436 437	Sprain & Strain	739.8	Somatic Dysfunction Rib Cage		OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
427 430 432 436 437	Sprain & Strain to Appendicular FM IM Trauma Ortho Rheuma- tology	739.6 739.7	Somatic Dysfunction Lower Extremity Somatic Dysfunction Upper Extremity	206	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
831 832 834 838	Somatoform Disorder FM IM Psych Surgery	739.0 739.1 739.2 739.3 739.4 739.5	Somatic Dysfunction various regions: Head, Cervical, Thoracic, Lumbar, Sacral, Pelvic Region		OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
121 122	Surgical: Procedures Related to Adenoid ENT FM Peds	739.0 739.1	Somatic Dysfunction Cervical Region	16 to 19	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
70 to 82	Surgical: Procedures Related to the Eyes (trauma/ fractures) ENT FM Peds Trauma Maxilofacial Opthamology	739.0 739.1	Somatic Dysfunction Cervical Region	1 to 14	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
411 to 419, 425 426	Surgical: Reduction of Fractures (Cervical, Dorsal, Lumbar, Sacral) FM Ortho Trauma Surgery	739.0 739.1 739.2 739.3 739.4 739.5 739.6 739.7 739.8	Somatic Dysfunction depending where fracture is: Head Cervical Thoracic Lumbar Sacrum Pelvis L. Extremity U. Extremity Rib		OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
700	Surgical: Procedures to Hemorrhoids, Rectal FM Surgery GI	739.3 739.4	Somatic Dysfunction Lumbar, Sacral Region	204	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
447 448	Surgical: Procedures Related to Herniated Disc Surgery Ortho Neurosurgery Trauma Rheuma- tology Neurology Rehab	739.1 739.2 739.3	Somatic Dysfunction Cervical> Region Somatic Dysfunction Thoracic Region Somatic Dysfunction Lumbar Region		OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
550 to 562	Surgical: Procedures related to Kidney Nephrology FM Surgery OB Urology Trauma	739.2	Kidney: Somatic Dysfunction Thoracic Region	135 to 139, 123 to 127 133, to 137	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
413	Surgical: Repair of Knees FM Ortho Trauma Rheuma- tology	739.4 739.5 739.6	Somatic Dysfunction L. Extremities		OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
416	Surgical: Podiatric Procedures FM Surgery	739.4 739.5 739.6	Somatic Dysfunction L. Extremities		OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
601 602	Surgical: Prostate Procedures FM Oncology Urology	739.3 739.4 739.5	Somatic Dysfunction Lumbar, Sacral, Pelvic Region	129 to 132, 136	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
121 122	Surgical: Procedures Tonsils ENT FM Peds	739.0 739.1	Somatic Dysfunction Cervical Region	1 to 19	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
557 to 561	Surgical: Urethra/ Ureter Procedures Nephrology FM Surgery OB Urology Trauma	739.4 739.5	Urethra & Ureter: Somatic Dysfunction Pelvic Region	124 to 127, 137	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
119 to 122, 138 139	Tonsillitis ENT FM Peds	739.1	Somatic Dysfunction Cervical Region	1 to 19	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
652	Uterine Bleeding, Dys- functional OB FM	739.4 739.5	Somatic Dysfunction Sacral, Pelvic Region	129 to 132, 139	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
187 to 190	Upper Respiratory Infections FM IM Pulmonary Peds	739.1 739.2	Somatic Dysfunction Cervical, Thoracic Region	23 to 30	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
568 569 570	Urinary Tract Infection FM Infectious IM Nephrology OB Peds	739.2	Somatic Dysfunction Cervical, Thoracic Region	123 to 127, 134	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paravertebral spinal muscles). b, c, d, e, f, and g same as above
DRG	Disease	ICD-9	Somatic Dysf	Page	Orders	Document
808 809 814 815	Viremia Septicemia FM IM Neurology Infectious	739.0 739.1 739.2 739.3 739.4 739.5	Somatic Dysfunction Head, Cervical, Thoracic, Lumbar, Sacral, Pelvic Region	23 to 30	OMT by housestaff to affected area(s) daily and record; or OMM consult and participate; or OMM consult for OMT prescription to be carried out by housestaff.	a. Narrative in H&P (i.e. Osteopathic lesions, alteration in motion, temperature tenderness, tissue texture change and pain in the area of the paraverteral spinal muscles). b, c, d, e, f, and g same as above

The primary reference book for this document is Osteopathic Considerations in Systemic Dysfunction, Kuchera and Kuchera, 2nd Edition Revised, KCOM Press, Kirksville, Missouri, 1991.