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M99.04

Billable

Segmental and somatic dysfunction of sacral region

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A dysfunction of the joints and muscles in the sacral region (base of the spine) that affects normal movement and alignment.

Coding Tips

  • Sacral dysfunction may contribute to lower back pain and pelvic symptoms
  • Consider documenting sacroiliac joint involvement if applicable to the clinical presentation

Code Hierarchy

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