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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

Intraoperative Monitoring - (0509)
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