M99.04 – Segmental and somatic dysfunction of sacral region

M99.04 Diagnosis Code: Segmental and Somatic Dysfunction of Sacral Region

• ​​M99.04 is the ICD-10-CM code that represents the diagnosis of segmental and somatic dysfunction of the sacral region.
• It refers to biomechanical issues, functional abnormalities, or any form of physical dysfunction involving the sacrum, a triangular bone in the lower back.
• The sacral region between the two hip bones plays a crucial role in supporting the spine and facilitating movement. Dysfunction can, therefore, significantly impact an individual's daily activities.
• The dysfunction might present with lower back pain, hip discomfort, and mobility issues. In some cases, it may even affect the functioning of the organs in the pelvic region.
• While the dysfunction can result from various causes such as trauma, repetitive stress, or degenerative conditions, it often presents without a clear, identifiable cause.
• This diagnosis is typically made based on clinical examination findings, patient symptoms, and, if necessary, imaging studies like X-ray or MRI to visualize the affected area.
• When coded in a patient's medical records, M99.04 allows for accurate documentation of the patient's medical condition, facilitating communication between healthcare providers and ensuring appropriate billing for services rendered.
• It's important to note that M99.04 is a non-specific code. It may need to be paired with other codes to provide a complete picture of the patient's health status.
• Treatment approaches may vary based on the severity of the condition and the specific symptoms experienced by the patient. Physical therapy, osteopathic manipulative treatment, and pain management strategies are commonly employed. In severe cases, surgical intervention may be considered.

Is M99.04 Billable?

M99.04 – Segmental and Somatic Dysfunction of Sacral Region is a billable code. 

Clinical Information

• Segmental and somatic dysfunction of the sacral region can affect patients of all ages, though it's more common in adults.
• The sacrum plays a vital role in the overall stability and function of the spine, and dysfunction can lead to a range of issues.
• Symptoms can vary from mild discomfort to severe pain and restricted movement.
• Treatment for this condition typically involves physiotherapy, osteopathic manipulative treatment, or sometimes surgery in severe cases.
• The prognosis depends on the underlying cause of the dysfunction, the patient's overall health, and the response to treatment.

Synonyms Include:

• Sacral region dysfunction
• Somatic dysfunction of sacrum
• Segmental dysfunction of sacrum
• Sacral biomechanical lesion
• Dysfunction of sacral region

Other ICD-10 Codes Commonly Used for Segmental and Somatic Dysfunction

• 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 extremities
• M99.07: Segmental and somatic dysfunction of upper extremities
• M99.08: Segmental and somatic dysfunction of rib cage
• M99.09: Segmental and somatic dysfunction of head region