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Topic Title: sacral dimple
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Created On: 05/03/2006 08:58 PM

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 05/03/2006 08:58 PM
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Is it necessary to assign a dx code for sacral dimple in a newborn if the physician orders a consult after discharge for the patient? Or is this coded to other specified congenital anomaly? Thanks for any help!
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 05/08/2006 03:51 PM
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This is information our pediatrician provided:

A BLIND sacral dimple is simply a dimple in the sacral area. This should be stated as such on the exam. There is no need for further evaluation of follow up other than routine care.
If a sacral dimple is noted and the end cannot be seen or it's a nonblind sacral dimple, then this should be noted on the exam as a sacral dimple with a possible sinus tract. This warrants further evaluation such as radiographs or ultrasounds.
We NEVER code a pilonidal cyst on newborn exams. They simply do not exist in the newborn period. They develop later as the child grows.

So knowing whether it's "blind" or "nonblind" sacral dimple is important. For blind sacral dimples we do not code.
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 09/18/2007 01:23 PM
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What code do you use for the "nonblind" sacral dimple?

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