Valid for Submission
S33.6XXS is a billable diagnosis code used to specify a medical diagnosis of sprain of sacroiliac joint, sequela. The code S33.6XXS is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code S33.6XXS might also be used to specify conditions or terms like closed complete rupture sacroiliac joint, complete disruption of pelvic ring, complete tear, sacroiliac ligament, open complete rupture of sacroiliac joint, open dislocation of sacroiliac joint , sacrum sprain, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
S33.6XXS is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like sprain of sacroiliac joint. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.
The appropriate 7th character is to be added to each code from block Disloc & sprain of joints & ligaments of lumbar spin & pelv (S33). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Closed complete rupture sacroiliac joint
- Complete disruption of pelvic ring
- Complete tear, sacroiliac ligament
- Open complete rupture of sacroiliac joint
- Open dislocation of sacroiliac joint
- Sacrum sprain
- Sprain of anterior sacroiliac ligament
- Sprain of posterior sacroiliac ligament
- Sprain of sacroiliac ligament
- Sprain of sacroiliac region
- Sprain pelvic ligament
- Sprain, symphysis pubis
- Traumatic dislocation of sacroiliac joint
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|562||FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC||08||1.408|
|563||FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC||08||0.8708|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Present on Admission (POA)
Convert S33.6XXS to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S33.6XXS its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
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
- Conditions, such as ankylosing spondylitis and scoliosis
- Bone changes that come with age, such as spinal stenosis and herniated disks
Spinal diseases often cause pain when bone changes put pressure on the spinal cord or nerves. They can also limit movement. Treatments differ by disease, but sometimes they include back braces and surgery.
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Sprains and Strains
A sprain is a stretched or torn ligament. Ligaments are tissues that connect bones at a joint. Falling, twisting, or getting hit can all cause a sprain. Ankle and wrist sprains are common. Symptoms include pain, swelling, bruising, and being unable to move your joint. You might feel a pop or tear when the injury happens.
A strain is a stretched or torn muscle or tendon. Tendons are tissues that connect muscle to bone. Twisting or pulling these tissues can cause a strain. Strains can happen suddenly or develop over time. Back and hamstring muscle strains are common. Many people get strains playing sports. Symptoms include pain, muscle spasms, swelling, and trouble moving the muscle.
At first, treatment of both sprains and strains usually involves resting the injured area, icing it, wearing a bandage or device that compresses the area, and medicines. Later treatment might include exercise and physical therapy.
NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases
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