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Home/Diagnosis/ICD-10 Coding for Sacral Pain

ICD-10 Coding for Sacral Pain

M53.3
M54.18

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

Also Known as:
Sacrococcygeal Pain
Lower Back Pain
Coccydynia
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Key Information: ICD-10 Coding for Sacral Pain

Essential facts and insights about ICD-10 Coding for Sacral Pain

Use ICD-10 code M53.3 for sacrococcygeal disorders, not elsewhere classified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sacrococcygeal disorders, not elsewhere classified

Billable Code
M53.3
Billable

Diagnostic Criteria

  • • Pain localized to sacral region with specific tests

Applicable To

  • • Localized sacral pain

Important Notes

  • • Ensure documentation specifies sacral region involvement.

Other dorsalgia, sacral region

Billable Code
M54.18
Billable

Diagnostic Criteria

  • • Central sacral pain radiating to buttocks
  • • Positive Fortin finger test

Applicable To

  • • Sacral pain with radiation

Important Notes

  • • Document radiation pattern clearly.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.21

Chronic pain due to trauma

Use when chronic sacral pain is due to a traumatic event.

Frequently Asked Questions

What is the ICD-10 code for sacral pain?

The ICD-10 code for sacral pain is primarily M53.3 for sacrococcygeal disorders and M54.18 for sacral pain with radiation.

How do you document sacral pain?

Document sacral pain by specifying the exact location, any radiation, and relevant clinical findings such as tenderness or positive tests.

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