M53.3
M53.3: Sacrococcygeal disorders, not elsewhere classified
Billable / specific codeICD-10-CM
M53.3 is a billable, specific ICD-10-CM code for sacrococcygeal disorders, not elsewhere classified. It is valid for submission on a claim.
Check M53.3 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Coccygodynia
Other codes that can never be billed with M53.3
Their own Excludes1 notes name this code, so the conflict is not listed above.
- G55Nerve root and plexus compressions in diseases classified elsewhere
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M53.3 is named in 28 Medicare coverage policies: 21 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58883Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
Alphabetic index entries that lead here
- Coccydynia, coccygodynia
- Sacralgia
- Sacrodynia
- Backache›sacroiliac
- Change›sacroiliac joint
- Disease, diseased›sacroiliac NEC
- Disorder›coccyx NEC
- Disorder›sacrum, sacrococcygeal NEC
- Lesion›sacroiliac(joint) (old)
- Pain›coccyx
- Pain›sacroiliac
- Schmorl's disease or nodes›sacrococcygeal region
Code history
Unchanged in every release from FY2024 to FY2027.