S33.6xxa – Sprain of sacroiliac joint, initial encounter

Is the S33.6XXA billable?

Yes, S33.6XXA is a billable ICD-10-CM code used for reimbursement purposes. It is appropriate for documenting a sacroiliac joint sprain's initial evaluation and treatment.

Clinical information

• A sprain of the sacroiliac joint involves overstretching or tearing of the joints and ligaments that connect the sacrum to the ilium in the pelvis.
• It may occur alongside other injuries such as a pelvis sprain, pelvis laceration, or trauma to the lumbar spine and pelvis.
• Common causes include pelvis traumatic subluxation, pelvis traumatic rupture, or pelvis traumatic tear resulting from falls, accidents, or sudden twisting motions.
• Symptoms may encompass pain in the lower back, buttocks, or hip, which can radiate to the groin or upper thighs, and may worsen with standing or walking.
• Diagnosis typically involves physical examinations and imaging studies to assess the lumbar spine and pelvic joints, and to rule out more severe injuries involving muscle, bone, or neurological compromise.
• Treatment options include rest, ice application, physical therapy, and in some cases, interventions for associated conditions like pelvis traumatic hemarthrosis.​

Synonyms include:

• Sacroiliac joint sprain
• Sacroiliac ligament sprain
• Sprain of sacroiliac ligament
• Sprain of sacroiliac region

‍Other ICD-10 codes commonly used for sacroiliac joint injuries

• S33.0XXA - Traumatic rupture of lumbar intervertebral disc, initial encounter

• S33.2XXA – Dislocation of sacroiliac and sacrococcygeal joint, initial encounter
• S33.5XXA – Sprain of ligaments of lumbar spine, initial encounter
• S33.6XXD - Sprain of sacroiliac joint, subsequent encounter
• S33.6XXS - Sprain of sacroiliac joint, sequela