Congenital sacral dimple. Q82.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM Q82.6 became effective on October 1, 2018. This is the American ICD-10-CM version of Q82.6 - other international versions of ICD-10 Q82.6 may differ.
They are a relatively common condition in neonates which may be benign in nature. However, sacral dimples with accompanying nearby tuft of hair or certain types of skin discoloration may indicate a serious underlying abnormality of the spine or spinal cord such as spina bifida or tethered cord syndrome.
A sacral dimple is a pit in the midline of skin overlying the spine, often detected in the newborn or early infant period. Diagnosis. Sacral dimples are diagnosed by simple clinical examination.
Sacral dimples are diagnosed by simple clinical examination. Simple, single sacral dimples do not require any further imaging. Those with the following clinical characteristics should be considered higher risk for the possibility of an underlying neural tube defect:
Your doctor is the best person to determine the underlying cause and treat it. Sacral dimples are found in 1.8%–7.2% of newborns and are usually detected during routine examinations (2). The exact cause for this congenital condition is not known. Subscribe.
If your infant’s doctor diagnoses an atypical sacral dimple, they might prescribe the necessary treatment. Sacral dimples are normal in most babies. If your child shows no additional symptoms, you need not worry. All you would need to do is keep it from getting dirty.
Sacral dimples, also known as sacrococcygeal or coccygeal dimples or pits, are a common cutaneous (relating to the skin) anomaly found during the neonatal spinal examination. These are shallow or deep indentations on the lower back (lower sacral region), just above the crease of the buttocks.
Sacral dimples are of two types. Typical sacral dimples: These are located on the skin of the lower back, near the crease of the buttocks. Usually, you will notice no other skin changes. Atypical sacral dimples: In this type, the dimple is located higher up on the back or off to the side, and the bottom of the dimple may not be seen.
Studies suggest that sacral dimples are a benign condition and require no treatment (1). However, if the sacral dimples are large, located farther away from the anus, or accompanied by a turf of hair, skin tag, or skin discoloration, they might be an indication of an underlying abnormality of the spinal cord (2).
Symptoms Of Abnormal Sacral Dimples. Often, sacral dimples are benign and may not be a cause for concern. However, if you find the below symptoms, it could be due to an underlying medical condition (4). Sacral dimples accompanied by a patch of hair, a birthmark, a deviated buttock fold, or discharge.
Sacral dimples which have a clearly visualised base with a width of < 0.5 cm, are positioned below the gluteal folds and have no other cutaneous features (dark hair, colour change) are innocent and do not require any further investigation.
A sacral dimple is a pit in the midline of skin overlying the spine, often detected in the newborn or early infant period.
Referral to paediatric outpatient services is not required for simple single sacral dimples, and is only required for higher risk dimples with abnormal or inconclusive ultrasound, or abnormal neurological signs.
Investigations are often not required for sacral dimples. Sacral dimples which have a clearly visualised base with a width of < 0.5 cm, are positioned below the gluteal folds and have no other cutaneous features (dark hair, colour change) are innocent and do not require any further investigation.