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ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 M53.3

Billable / Specific

Sacrococcygeal disorders, not elsewhere classified

M53
Block
1
Synonyms
309
LCDs
27
Payer Policies
13
Linked CPTs

About ICD-10-CM M53.3

ICD-10-CM code M53.3 represents Sacrococcygeal disorders, not elsewhere classified. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M53). The 2026 edition of ICD-10-CM M53.3 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under M53.3. Per CMS ICD-10-CM Tabular 2026.

  • Coccygodynia

Medicare LCD Coverage for M53.3

Local Coverage Determinations (LCDs) from CMS MACs that list M53.3 as a covered diagnosis.

309 LCDs

Showing top 10 of 309 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Sacroiliac Joint Injections and Procedures
Article ID: 59154, Effective: 2026-03-26 00:00:00, 4 covered, 0 non-covered
CPT 64625 →
CMS LCD: Billing and Coding: Sacroiliac Joint Injections and Procedures
Article ID: 59154, Effective: 2026-03-26 00:00:00, 4 covered, 0 non-covered
CPT 27096 →
CMS LCD: Billing and Coding: Sacroiliac Joint Injections and Procedures
Article ID: 59154, Effective: 2026-03-26 00:00:00, 4 covered, 0 non-covered
CPT 64451 →
CMS LCD: Billing and Coding: Sacroiliac Joint Injections and Procedures
Article ID: 59154, Effective: 2026-03-26 00:00:00, 4 covered, 0 non-covered
CPT G0260 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT Q9953 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT 72148 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT A9585 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT 72158 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT 72149 →
CMS LCD: Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
Article ID: 56607, Effective: 2025-10-01 00:00:00, 604 covered, 0 non-covered
CPT 64416 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M53.3.

27 policies

2 Aetna

Orthopedic Casts, Braces and Splints - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0009
Back Pain - Invasive Procedures - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0016

4 Cigna

Acupuncture - (CPG024)
Policy ID: CPG024_ACUPUNCTURE
Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP
Intraoperative Monitoring - (0509)
Policy ID: MM_0509
Peripheral Nerve Destruction for Pain Conditions - (0525) ---- future effective policy
Policy ID: MM_0525

5 Medicare

Billing and Coding: Bariatric Surgery Coverage
Policy ID: ART-53026
Billing and Coding: Home Health Physical Therapy
Policy ID: ART-53058
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
Policy ID: ART-56034
Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
Policy ID: ART-56607

CPT Codes Commonly Billed with M53.3

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

13 linkages
  • 64493 Facet joint injection lumbar L1 — back pain, spondylosis, sacrococcygeal disorder, sacroiliitis, spinal stenosis Pain Management
  • 20551 CMS LCD: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma CMS LCD
  • 20550 CMS LCD: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma CMS LCD
  • 20612 CMS LCD: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma CMS LCD
  • 26341 CMS LCD: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma CMS LCD
  • 28899 CMS LCD: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma CMS LCD
  • 20527 CMS LCD: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma CMS LCD
  • 27096 CMS LCD: Billing and Coding: Sacroiliac Joint Injections and Procedures CMS LCD
  • G0260 CMS LCD: Billing and Coding: Sacroiliac Joint Injections and Procedures CMS LCD
  • 64451 CMS LCD: Billing and Coding: Sacroiliac Joint Injections and Procedures CMS LCD

Convert M53.3 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
M53.3 7246 10000
M53.3 72470 10000
M53.3 72479 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 M53.3, Billing FAQ

Is ICD-10 code M53.3 billable? +

Yes, M53.3 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to M53.3? +

ICD-10 M53.3 includes: Coccygodynia.

What CPT codes are commonly billed with M53.3? +

Procedures frequently paired with M53.3 include: 64493, 20551, 20550, 20612, 26341.

What ICD-9 codes does M53.3 map to? +

Per CMS GEMs, M53.3 maps to ICD-9 codes: 7246, 72470, 72479. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

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