2026 ICD-10-CM Diagnosis Code M99.04Segmental and somatic dysfunction of sacral region

ICD-10-CM Codes›M00–M99›M99›M99

ICD-10-CM M99.04
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

M99.04 is a billable ICD-10-CM diagnosis code for segmental and somatic dysfunction of sacral region. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 551 through 552. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Biomechanical lesions.

Code Identity

ICD-10-CM Code
M99.04
Billable Status
Yes — Valid for Submission
Code Describes
Segmental and somatic dysfunction of sacral region
Short Description
Segmental and somatic dysfunction of sacral region
Same as the full description in the CMS dataset.
Parent Code
M99.0
Segmental and somatic dysfunction

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM99Biomechanical lesions, not elsewhere classified
CategoryM99Biomechanical lesions, not elsewhere classified
This CodeM99.04Segmental and somatic dysfunction of sacral region

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Anterior sacrum
  • Anterior translated sacrum
  • Backward sacral torsion
  • Bilateral sacral extension
  • Bilateral sacral flexion
  • Bilateral somatic dysfunction of sacroiliac joints
  • Extension of left side of sacral spine
  • Extension of right side of sacral spine
  • Flexion of left side of sacral spine
  • Flexion of right side of sacral spine
  • Forward sacral torsion
  • Left on left forward sacral torsion
  • Left on right backward sacral torsion
  • Posterior sacrum
  • Posterior translated sacrum
  • Right on left backward sacral torsion
  • Right on right forward torsion
  • Rotation dysfunction of the sacrum
  • Rotational deformity of spine
  • Rotational deformity of trunk
  • Sacral base declination
  • Sacral extension
  • Sacral flexion
  • Sacral shear
  • Sacral torsion
  • Somatic dysfunction of left sacroiliac joint
  • Somatic dysfunction of right sacroiliac joint
  • Somatic dysfunction of sacral region
  • Somatic dysfunction of sacral spine
  • Somatic dysfunction of sacrococcygeal region
  • Somatic dysfunction of sacroiliac joint
  • Somatic dysfunction of sacroiliac region

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Dysfunction
      • somatic
        • sacral region
    • Dysfunction
      • somatic
        • sacrococcygeal
    • Dysfunction
      • somatic
        • sacroiliac

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MUS012
Biomechanical lesions
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Spine Injuries and Disorders

Your backbone, or spine, is made up of 26 bone discs called vertebrae. The vertebrae protect your spinal cord and allow you to stand and bend. A number of problems can change the structure of the spine or damage the vertebrae and surrounding tissue. They include:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert M99.04 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
739.4 Somat dysfunc sacral reg
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About M99.04Overview

Is M99.04 (Segmental and somatic dysfunction) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report segmental and somatic dysfunction of sacral region on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does M99.04 group to?

When segmental and somatic dysfunction of sacral region is the principal diagnosis on an inpatient stay, it groups to MS-DRG 551, 552, with relative weights from 0.9613 to 1.6761 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of M99.04?

Under the General Equivalence Mappings, segmental and somatic dysfunction of sacral region converts to ICD-9-CM 739.4 (somat dysfunc sacral reg). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.