Spinal enthesopathy, sacral and sacrococcygeal region

This code represents inflammation and degeneration at the insertion points of ligaments and tendons into the bones of the sacral and sacrococcygeal regions of the spine. It indicates a condition affecting the entheses, which are the connective tissue attachments, specifically in the lower back and tailbone area.

Use this code when documentation explicitly states enthesopathy affecting the sacrum or coccyx. This diagnosis is typically supported by clinical findings of localized pain, tenderness, and possibly imaging results showing inflammation or degenerative changes at these specific entheseal sites.

• Ensure the documentation clearly specifies "enthesopathy" and the exact anatomical region (sacral and/or sacrococcygeal).
• Do not confuse with general low back pain codes (e.g., M54.5) or other inflammatory spondylopathies unless enthesopathy is specifically diagnosed.
• Consider sequencing with codes for underlying systemic inflammatory conditions (e.g., ankylosing spondylitis) if applicable and documented as the cause.