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Home/Diagnosis/ICD-10 Coding for Sacroiliac Joint Disease

ICD-10 Coding for Sacroiliac Joint Disease

M46.1
S33.6

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

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

Essential facts and insights about ICD-10 Coding for Sacroiliac Joint Disease

Use ICD-10 code M46.1 for sacroiliitis, not elsewhere classified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sacroiliitis, not elsewhere classified

Billable Code
M46.1
Billable

Diagnostic Criteria

clinical:
  • • MRI shows bone marrow edema in the SI joint
documentation:
  • • Documented positive HLA-B27 test

Applicable To

  • • Inflammatory sacroiliitis

Important Notes

  • • Ensure documentation includes laterality and specific clinical findings.

Sprain of sacroiliac joint

Non-Billable
S33.6
Non-Billable

Diagnostic Criteria

clinical:
  • • Mechanism of injury documented
  • • Positive thigh thrust test

Applicable To

  • • Acute sprain of the sacroiliac joint

Important Notes

  • • Ensure documentation includes the mechanism of injury and specific tests.
Ancillary Codes

Additional codes that may be used with this diagnosis

M99.0

Biomechanical lesions, not elsewhere classified

Use when there is biomechanical dysfunction such as pelvic asymmetry.

Frequently Asked Questions

What is the ICD-10 code for sacroiliac joint disease?

The ICD-10 code for sacroiliac joint disease is M46.1 for inflammatory sacroiliitis and S33.6 for traumatic sprain of the sacroiliac joint.

How do you code sacroiliac joint dysfunction?

Sacroiliac joint dysfunction is coded as M46.1 for inflammatory causes or S33.6 for traumatic injuries, depending on the clinical findings and documentation.

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