DNA mutations can occur via various mechanisms and result in changes to the genetic code. Point mutations involve a single nucleotide change and can be silent, missense, or nonsense. Frameshift mutations occur via insertions or deletions not divisible by three. Chromosomal mutations include deletions, duplications, inversions, translocations, and nondisjunction. Transitions alter a purine to purine or pyrimidine to pyrimidine, while transversions involve a purine to pyrimidine switch. DNA tautomers can lead to illegitimate base pairs and substitutions during replication. Mutations contribute to genetic variation and disease states.