| ICD-10 Code | Diagnosis | Coverage |
|---|---|---|
| M43.28 | Fusion of spine, sacral and sacrococcygeal region | covered |
| M46.1 | Sacroiliitis, not elsewhere classified | covered |
| M47.818 | Spondylosis without myelopathy or radiculopathy, sacral and sacrococcygeal region | covered |
| M53.3 | Sacrococcygeal disorders, not elsewhere classified | covered |
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