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v1.0.0
ICD-10 Guide
DiagnosesSacral Insufficiency Fracture

Sacral Insufficiency Fracture

ICD-10 Coding for Sacral Insufficiency Fracture(M80.08, M80.88)

PRIMARY SPECIALTYOrthopedic Surgery
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Sacral Insufficiency Fracture?
Essential facts and insights about Sacral Insufficiency Fracture

Key Clinical Considerations:

  • Low back pain, often unilateral
  • Radiological evidence of fracture on X-ray or MRI
  • Tenderness over the sacral region

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including risk factors (e.g., osteoporosis)
  • Detailed description of symptoms and physical exam findings
  • Imaging results and interpretation

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for coding fractures; avoid using unspecified codes.
  • Common errors include misclassifying the fracture type.

Code Exclusions

Important Exclusions

  • Traumatic fractures, metastatic disease
  • M80.0 (osteoporosis with fracture)

Related ICD-10 Codes

Primary Codes
M84.56
Sacral insufficiency fracture
Ancillary Codes
S32.10XD
M80.08
.
Z87.310
Differential Codes
M84.58
M48.5

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Orthopedic Surgery

Specialty Applications

  • Elderly patients, postmenopausal women, patients with osteoporosis
  • Orthopedic clinics, emergency departments

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include patient history, imaging results, and clinical findings.

Billing considerations?

Ensure accurate coding to reflect the diagnosis and any associated conditions.