Sacral Pain ICD-10-CM Codes

Explore the ICD-10-CM codes for Sacral Pain in 2023. Discover which codes are billable and gain clinical insights in this comprehensive guide.

By Jamie Frew on Feb 29, 2024.

Fact Checked by Nate Lacson.

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Sacral Pain ICD-10-CM Codes

What ICD-10 Codes are Used for Sacral Pain?

Sacral pain, a discomfort or ache in the sacral region of the spine, is identified and documented using specific Sarcal Pain ICD codes. Here are ten commonly used codes for this condition, along with brief clinical descriptions:

M53.3 - Sacrococcygeal disorders, not elsewhere classified: This code is used when sacral pain does not fit into more specific categories.

M53.82 - Other specified sacral and sacrococcygeal region disorders: For sacral pain with specific characteristics not covered by other codes.

M53.83 - Sacrococcygeal spondylolisthesis: Used when sacral pain results from spondylolisthesis in the sacrococcygeal region.

M53.84 - Sacrococcygeal disorders in diseases classified elsewhere: Applicable when sacral pain is a symptom of another underlying condition, and that condition has its code.

M54.89 - Other dorsalgia: When sacral pain is part of a broader pain syndrome affecting the spine and is not categorized elsewhere.

M25.559 - Pain in unspecified hip: If sacral pain radiates to the hip or is unclear in origin, this code may be used.

M79.669 - Pain in unspecified lower leg: This code can be applied if sacral pain radiates to the lower leg or is ambiguous.

R52 - Pain, unspecified: When the origin and characteristics of sacral pain are unclear or not otherwise classified, this code may be used.

G89.21 - Chronic pain due to trauma: Sacral pain persisting due to a past traumatic injury.

G89.29 - Other chronic pain: This code may be applied when sacral pain is chronic but not due to trauma.

Which Sacral Pain ICD Codes are Billable?

The billable status of the mentioned ICD-10 codes for Sacral Pain varies:

M53.3 - Sacrococcygeal disorders, not elsewhere classified: Yes, billable. Medical expenses related to sacral pain not fitting into specific categories can be claimed.

M53.82 - Other specified sacral and sacrococcygeal region disorders: Yes, billable. Specific characteristics of sacral pain not covered by other codes are eligible for reimbursement.

M53.83 - Sacrococcygeal spondylolisthesis: Yes, billable. Medical costs associated with sacral pain resulting from spondylolisthesis can be claimed.

M53.84 - Sacrococcygeal disorders in diseases classified elsewhere: Yes, billable. This code covers sacral pain as a symptom of an underlying condition with its code.

M54.89 - Other dorsalgia: Yes, billable. Sacral pain as part of a broader pain syndrome affecting the spine is eligible for reimbursement.

M25.559 - Pain in the unspecified hip: Yes, billable. Medical expenses can be claimed when sacral pain radiates to the hip or is unclear in origin.

M79.669 - Pain in unspecified lower leg: Yes, billable. If sacral pain radiates to the lower leg or is ambiguous, healthcare providers can seek reimbursement.

R52 - Pain, unspecified: Yes, billable. This code can be used when the origin and characteristics of sacral pain are unclear or not otherwise classified.

G89.21 - Chronic pain due to trauma: Yes, billable. Chronic sacral pain resulting from a past traumatic injury can be claimed.

G89.29 - Other chronic pain: Yes, billable. Chronic sacral pain not due to trauma is eligible for reimbursement.

Clinical Information

  • Sacral pain is discomfort or pain experienced in the sacrum, the triangular bone at the base of the spine.
  • It can result from various causes, including injury, overuse, degenerative conditions, or nerve compression.
  • Patients may describe sacral pain as aching, burning, stabbing, or throbbing in the lower back, buttocks, or hips.
  • Evaluation includes a thorough medical history, physical examination, and assessment of any neurological symptoms.
  • Imaging studies like X-rays, CT scans, or MRIs may be needed to identify the underlying cause.
  • Common causes of sacral pain include sacroiliac joint dysfunction, herniated discs, sacral fractures, or sciatica.
  • Treatment options depend on the cause and may involve physical therapy, pain management, medications, or injections.
  • Lifestyle modifications, including posture correction and ergonomic changes, can help prevent and manage sacral pain.
  • Patient education on self-care techniques and home exercises is often integral to treatment.
  • In severe or chronic sacral pain cases, referral to a specialist such as a pain management physician or orthopedic surgeon may be necessary.

Synonyms Include

  • Sacralgia
  • Sacral Discomfort
  • Lower Back Pain
  • Coccydynia
  • Sacral Region Pain
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Commonly asked questions

What are some common causes of sacral pain?

Sacral pain can result from trauma, musculoskeletal issues, nerve compression, infections, or underlying medical conditions like sacroiliac joint dysfunction.

How is sacral pain diagnosed?

Diagnosis typically involves a physical examination, imaging studies (X-rays, MRI, CT scans), and sometimes nerve conduction tests to identify the underlying cause.

What are the treatment options for sacral pain?

Treatment options may include physical therapy, pain medications, corticosteroid injections, lifestyle modifications, and, in severe cases, surgical interventions to address the underlying cause of the pain.

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