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S33.2XXA
Dislocation of sacroiliac and sacrococcygeal joint, initial encounter
ICD10CM code
Medical Policies and Guidelines for Dislocation of sacroiliac and sacrococcygeal joint, initial encounter
Related policies from health plans
CIGNA
Intraoperative Monitoring - (0509)
ANTHEM-BLUECROSS-CT
RAD.00034 Dynamic Spinal Visualization (Including Digital Motion X-ray and Cineradiography/ Videofluoroscopy)
Similar Codes
ICD10CM codes
S33.2XXA
- Dislocation of sacroiliac and sacrococcygeal joint, initial encounter
S33.2XXD
- Dislocation of sacroiliac and sacrococcygeal joint, subsequent encounter
S33.6XXA
- Sprain of sacroiliac joint, initial encounter
S33.2
- Dislocation of sacroiliac and sacrococcygeal joint
S33.6XXD
- Sprain of sacroiliac joint, subsequent encounter
S33.2XXS
- Dislocation of sacroiliac and sacrococcygeal joint, sequela
S33.30XA
- Dislocation of unspecified parts of lumbar spine and pelvis, initial encounter
S33.39XA
- Dislocation of other parts of lumbar spine and pelvis, initial encounter
S33.101A
- Dislocation of unspecified lumbar vertebra, initial encounter
S33.111A
- Dislocation of L1/L2 lumbar vertebra, initial encounter
HCPCS codes
G0259
- Injection procedure for sacroiliac joint; arthrography
G0260
- Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic
L0623
- Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum
G0415
- Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which dis
L0624
- Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels placed over the
L5696
- Addition to lower extremity, above knee or knee disarticulation, pelvic joint
L0621
- Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac j
S2115
- Osteotomy, periacetabular, with internal fixation
L0622
- Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac j
L5920
- Addition, endoskeletal system, above knee or hip disarticulation, alignable system
CPT4 codes
01170
- Anesthesia for open procedures involving symphysis pubis or sacroiliac joint
01160
- Anesthesia for closed procedures involving symphysis pubis or sacroiliac joint
27280
- Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when
72202
- Radiologic examination, sacroiliac joints; 3 or more views
28606
- Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation
28666
- Percutaneous skeletal fixation of interphalangeal joint dislocation, with manipulation
28636
- Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation
28576
- Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation
72200
- Radiologic examination, sacroiliac joints; less than 3 views
27279
- Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with ima