ICD-10 Coding for Coccyx Pain(M53.2X7, M53.3)
Complete ICD-10-CM coding and documentation guide for Coccyx Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Coccyx Pain
M53.2-M53.3Primary Range
Other dorsopathies
This range includes codes for disorders of the sacrococcygeal region, including coccygodynia and sacrococcygeal disorders not elsewhere classified.
Fracture of coccyx
This range is relevant for cases involving traumatic fractures of the coccyx.
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 when pain is specifically localized to the coccyx with no evidence of fracture. |
|
| M53.3 | Sacrococcygeal disorders, not elsewhere classified | Use when etiology of sacrococcygeal pain is unclear or involves joint dysfunction. |
|
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 coccyx pain
Essential facts and insights about Coccyx Pain
Primary ICD-10-CM Codes for coccyx pain
Decision Criteria
clinical Criteria
- Presence of localized coccyx tenderness
documentation Criteria
- Exclusion of lumbar radiculopathy
Applicable To
- Localized coccyx pain
- Pain exacerbated by sitting
Excludes
- Fracture of coccyx (S32.2XXA)
Clinical Validation Requirements
- Tenderness on palpation of coccyx
- Pain worsened by sitting or standing
- Exclusion of other lumbar causes
Code-Specific Risks
- Misclassification as general low back pain
Coding Notes
- Ensure documentation specifies coccyx-specific symptoms.
M53.3 - Sacrococcygeal disorders, not elsewhere classified
Use when etiology of sacrococcygeal pain is unclear or involves joint dysfunction.
Applicable To
- Sacrococcygeal joint dysfunction
Excludes
- Coccygodynia (M53.2X7)
Clinical Validation Requirements
- Imaging showing joint dysfunction
- Absence of fracture
Coding Notes
Document imaging findings to support diagnosis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Fracture of coccyx
S32.2XXADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Coccyx 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: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use specific anatomical terms, Include detailed patient history
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use M53.2X7 for coccyx-specific pain.
Impact
Risk of audits due to incorrect use of low back pain codes.
Mitigation Strategy
Ensure detailed documentation of coccyx-specific symptoms.
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 Coccyx Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Coccyx Pain
Use these documentation templates to ensure complete and accurate documentation for Coccyx Pain. These templates include all required elements for proper coding and billing.
Acute coccyx pain after trauma
Specialty: Emergency MedicineRequired Elements
- History of trauma
- Localized tenderness
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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