M99.04 – Segmental and somatic dysfunction of sacral region

M99.04 – Segmental and somatic dysfunction of sacral region

Learn about ICD-10-CM code M99.04 for segmental and somatic dysfunction of the sacral region, including clinical details and related information.

By Audrey Liz Perez on Aug 8, 2025.

Fact Checked by Gale Alagos.

Use Code

M99.04 diagnosis code: Segmental and somatic dysfunction of sacral region

The ICD-10-CM code M99.04 is used to diagnose segmental and somatic dysfunction of the sacral region. This condition refers to impaired or altered function of the sacrum, located at the base of the spine within the pelvic region, which can impact surrounding joints and ligaments. Dysfunction in this area may contribute to instability, restricted movement, and localized or radiating pain affecting the lumbar spine and pelvis.

Common symptoms of somatic dysfunction of the sacral region include lower back pain, pelvic discomfort, reduced mobility, and sometimes nerve irritation radiating into the lower extremities. Patients may also report stiffness, imbalance, or difficulty standing and walking for extended periods. Treatments typically focus on restoring normal motion and alignment through osteopathic manipulative treatment, physical therapy, manual therapies, and, when necessary, supportive measures like pain management or targeted rehabilitation exercises.

Is M99.04 billable?

Yes, M99.04 is a billable/specific ICD-10-CM code appropriate for reimbursement purposes. It is used when a patient presents with somatic dysfunction in the sacral region.

Clinical information

  • Somatic dysfunction refers to impaired or altered function of the body's framework system, including the muscles, joints, and ligaments.​
  • In the category of M99.04, the dysfunction is localized to the sacral region, which plays a crucial role in supporting the spine and facilitating movement.
  • Patients may experience pain in the lower back or pelvic region, stiffness, or limited range of motion.​
  • Diagnosis is typically based on clinical result and evaluation, including physical examination and patient history. Imaging studies and other assessment services may be utilized to rule out other conditions.
  • Treatment options include osteopathic manipulative treatment, physical therapy, and other modalities aimed at restoring normal function and alleviating symptoms.​

Synonyms include

  • Somatic dysfunction of sacroiliac joint​
  • Somatic dysfunction of bilateral sacroiliac joints
  • Somatic dysfunction of left sacroiliac joint​
  • Somatic dysfunction of right sacroiliac joint​
  • Segmental and somatic dysfunction, sacral region

Other ICD-10 codes commonly used for segmental and somatic dysfunction

  • M99.00 – Segmental and somatic dysfunction of head region​
  • M99.01 – Segmental and somatic dysfunction of cervical region​
  • M99.02 – Segmental and somatic dysfunction of thoracic region​
  • M99.03 – Segmental and somatic dysfunction of lumbar region​
  • M99.05 – Segmental and somatic dysfunction of pelvic region​
  • M99.06 – Segmental and somatic dysfunction of lower extremity

Commonly asked questions

M99.04 is used when the healthcare provider has diagnosed a patient with a segmental and somatic dysfunction of the sacral region.

Treatments for this condition can include physical therapy, osteopathic manipulative treatment, or, in severe cases, surgery.

Diagnosis code M99.04 refers to a clinical condition involving segmental and somatic dysfunction of the sacral region, a part of the spine.

Related ICDs

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