ICD-10 Coding for Coccygeal Pain(M53.2X7, M53.3)
Complete ICD-10-CM coding and documentation guide for Coccygeal Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Coccygeal Pain
M53-M54Primary Range
Other dorsopathies
Includes disorders of the sacrococcygeal region, including coccygeal pain.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M53.2X7 | Coccygodynia | Use for specific tailbone pain with identifiable trauma or instability. |
|
| M53.3 | Sacrococcygeal disorders, not elsewhere classified | Use for non-specific sacrococcygeal pain without specific etiology. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for coccygeal pain
Essential facts and insights about Coccygeal Pain
Primary ICD-10-CM Codes for coccygeal pain
Decision Criteria
clinical Criteria
- Presence of localized tenderness and history of trauma
documentation Criteria
- Detailed description of pain characteristics and imaging findings
Applicable To
- Post-traumatic coccygodynia
- Localized coccygeal pain
Excludes
- Fracture of coccyx (S32.2XXA)
Clinical Validation Requirements
- Localized tenderness on palpation
- Pain exacerbated by sitting
- Dynamic X-ray showing coccygeal hypermobility
Code-Specific Risks
- Misuse for non-specific low back pain
- Incorrect sequencing with chronic pain codes
Coding Notes
- Ensure documentation specifies trauma or instability for accurate coding.
M53.3 - Sacrococcygeal disorders, not elsewhere classified
Use for non-specific sacrococcygeal pain without specific etiology.
Applicable To
- Non-specific sacrococcygeal pain
Excludes
- Coccygodynia (M53.2X7)
Clinical Validation Requirements
- Pain without identifiable trauma
- Normal imaging results
Coding Notes
Avoid using when specific coccygeal conditions are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Chronic pain due to trauma
G89.21Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Coccygeal Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M53.2X7.
Impact
Clinical: Inaccurate diagnosis, Regulatory: Potential audit issues, Financial: Denied claims
Mitigation Strategy
Always document trauma history if applicable.
Impact
Reimbursement: May lead to lower DRG assignment, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate representation of patient condition
Mitigation Strategy
Use M53.2X7 for specific coccygeal pain with trauma.
Impact
Using non-specific codes for specific conditions.
Mitigation Strategy
Ensure detailed documentation of trauma and imaging.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Coccygeal Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Coccygeal Pain
Use these documentation templates to ensure complete and accurate documentation for Coccygeal Pain. These templates include all required elements for proper coding and billing.
Post-traumatic coccygeal pain
Specialty: OrthopedicsRequired Elements
- History of trauma
- Pain characteristics
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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