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Home/Diagnosis/ICD-10 Coding for Right SI Joint Pain

ICD-10 Coding for Right SI Joint Pain

M46.11
S33.6XXA

Complete ICD-10-CM coding and documentation guide for icd-10 coding for right si joint pain includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Right Sacroiliac Joint Pain
Right SIJ Pain
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Key Information: ICD-10 Coding for Right SI Joint Pain

Essential facts and insights about ICD-10 Coding for Right SI Joint Pain

Use ICD-10 code M46.11 for sacroiliitis, right, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sacroiliitis, right

Non-Billable
M46.11
Non-Billable

Diagnostic Criteria

clinical:
  • • Presence of imaging-confirmed inflammation and positive laboratory markers.
coding:
  • • Avoid using M54.5 when specific sacroiliitis is diagnosed.

Applicable To

  • • Right sacroiliac joint inflammation

Important Notes

  • • Ensure laterality is specified and confirm inflammatory markers are present.

Sprain of sacroiliac joint, initial encounter

Billable Code
S33.6XXA
Billable

Diagnostic Criteria

clinical:
  • • History of trauma
  • • Negative inflammatory markers

Applicable To

  • • Acute sprain of the sacroiliac joint

Important Notes

  • • Ensure documentation of trauma and absence of inflammatory markers.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.56

Pain in knee

Use if pain radiates to the knee.

M54.5

Low back pain

Use for associated low back pain symptoms.

Frequently Asked Questions

What is the ICD-10 code for right SI joint pain?

The ICD-10 code for right SI joint pain due to inflammation is M46.11, indicating sacroiliitis of the right sacroiliac joint.

How is right SI joint pain documented?

Document right SI joint pain by specifying laterality, confirming inflammation with imaging, and listing positive provocation tests.

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