M48.8X8
BillableOther specified spondylopathies, sacral and sacrococcygeal region
HCC Category Mapping
V28HCC 93 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.175V24HCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.307ESRDHCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.000RxHCCHCC 83 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.000What This Code Means
A rare or unusual spine disease affecting the sacral region and the area at the base of the spine near the tailbone.
Coding Tips
- •Apply this code when the spondylopathy is localized to the sacral and sacrococcygeal areas
- •Ensure documentation specifies sacral involvement to justify this regional specificity
Clinical Significance
Other specified spondylopathies in the sacral and sacrococcygeal region affect the base of the spine and tailbone area, potentially causing significant sitting intolerance and pelvic pain. This location may impact bowel, bladder, or sexual function in severe cases.
Documentation Requirements
- ✓Specific spondylopathy affecting S1-S5 and coccyx
- ✓Imaging studies demonstrating sacral or coccygeal involvement
- ✓Assessment for neurological symptoms affecting pelvic organs
- ✓Documentation of unique spondylopathy not fitting other categories
- ✓Evaluation of sitting tolerance and pelvic pain patterns
- ✓Assessment for cauda equina syndrome if severe
- ✓Treatment response and functional adaptations
Commonly Confused Codes
M48.8X7 — Other specified spondylopathies lumbosacral (use for L5-S1 junction)M53.3 — Sacrococcygeal disorders not elsewhere classified (use for non-specific conditions)S32.2XXA — Fracture of coccyx initial encounter (use for acute traumatic injury)M46.1 — Sacroiliitis not elsewhere classified (use for sacroiliac joint inflammation)
Code Hierarchy
└M48Other spondylopathies└M48.8Other specified spondylopathies└M48.8XOther specified spondylopathies└M48.8X8Other specified spondylopathies, sacral and sacrococcygeal region
└M48.8X8Other specified spondylopathies, sacral and sacrococcygeal region