M46.88

Billable

Other specified inflammatory spondylopathies, sacral and sacrococcygeal region

HCC Category Mapping

V24HCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease

0.307

ESRDHCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease

0.000

What This Code Means

Inflammation of the spine in the sacral and sacrococcygeal region (base of spine) that doesn't fit into other specific categories.

Coding Tips

•Use for inflammatory conditions affecting the sacrum and coccyx; distinguish from sacroiliitis which has separate coding
•Less commonly used code; verify documentation clearly indicates spinal involvement in this region

Clinical Significance

Non-infectious inflammatory conditions of the sacral and sacrococcygeal region are rare but can significantly impact pelvic function and quality of life. These chronic conditions may require specialized anti-inflammatory approaches and monitoring for pelvic floor complications.

Documentation Requirements

✓Sacral and sacrococcygeal region involvement
✓Non-infectious inflammatory etiology
✓Imaging of sacral inflammatory changes
✓Pelvic floor function assessment
✓Bowel and bladder function evaluation
✓Inflammatory marker monitoring
✓Response to anti-inflammatory therapy
✓Quality of life and functional measures

Commonly Confused Codes

M46.58 — Infective sacral spondylopathy when infectious M46.87 — Lumbosacral region when at L5-S1 junction M53.3 — Sacrococcygeal disorders when non-inflammatory N31.9 — Bladder dysfunction when genitourinary symptoms primary

Code Hierarchy

└M46Other inflammatory spondylopathies └M46.8Other specified inflammatory spondylopathies └M46.88Other specified inflammatory spondylopathies, sacral and sacrococcygeal region

└M46.88Other specified inflammatory spondylopathies, sacral and sacrococcygeal region