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Home/Diagnosis/ICD-10 Coding for Sacroiliac Dysfunction

ICD-10 Coding for Sacroiliac Dysfunction

M53.3
S33.6

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

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

Essential facts and insights about ICD-10 Coding for Sacroiliac Dysfunction

Use ICD-10 code M53.3 for sacroiliac joint dysfunction, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sacroiliac joint dysfunction

Billable Code
M53.3
Billable

Diagnostic Criteria

  • • Chronic pain and positive SIJ tests

Applicable To

  • • Sacroiliac joint pain
  • • Sacroiliac joint disorder

Important Notes

  • • Ensure documentation specifies chronicity and absence of acute injury.

Sprain of sacroiliac joint

Non-Billable
S33.6
Non-Billable

Diagnostic Criteria

  • • History of trauma
  • • Positive FABER test

Applicable To

  • • Acute sacroiliac joint sprain

Important Notes

  • • Document the mechanism of injury clearly.
Ancillary Codes

Additional codes that may be used with this diagnosis

M54.5

Low back pain

Use to document associated low back pain.

S39.012

Strain of muscle and tendon of pelvis

Use for associated muscle strain.

Frequently Asked Questions

What is the ICD-10 code for sacroiliac dysfunction?

The ICD-10 code for sacroiliac dysfunction is M53.3, used for chronic conditions without acute injury.

How is sacroiliac joint dysfunction diagnosed?

Diagnosis involves clinical tests like FABER and imaging to confirm joint dysfunction and rule out other conditions.

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