Certified Outpatient Coder (COC) Practice Exam 2026 - Free COC Practice Questions and Study Guide

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When coding osteopathic manipulative treatment, which spinal region is typically excluded?

Cervical

Thoracic

Lumbar

Caudal

In the context of osteopathic manipulative treatment (OMT), the caudal region is typically excluded from coding practices. This exclusion arises because OMT primarily focuses on manipulating the vertebrae found within the cervical, thoracic, and lumbar regions of the spine. The caudal region, which refers to the lower part of the spine, including the sacrum and coccyx, does not typically involve the same level of manipulative techniques conversely used in higher spinal levels.

Most OMT coding guidelines emphasize the applicability to the segments of the spine that are more commonly treated through manipulation, thus excluding the caudal area. This ensures that coding accurately reflects the medical procedures performed, allowing for proper documentation and billing practices. The clarification helps maintain the intent and utility of OMT within the frameworks of osteopathic medicine, focusing on areas where the treatment is effective and applicable.

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