ICD10BillableValid for clinical use

ICD-10 Code M46.1: Sacroiliitis, not elsewhere classified

M46.1 is a billable ICD-10 diagnosis code used to classify Sacroiliitis, not elsewhere classified in medical records and claims. You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records. ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Diseases of the musculoskeletal system and connective tissue (M00-M99).

Reviewed by HealthAssure Clinical TeamUpdated 26 May 2026

What is this code?

ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Diseases of the musculoskeletal system and connective tissue (M00-M99).

When is it used?

  • May be used when a clinician documents sacroiliitis, not elsewhere classified in a patient's medical record.
  • May appear in hospital records, claims, referrals, and clinical documentation.
  • This code can be used as a clinically usable diagnosis entry in standardized coding workflows.

What it does not mean

  • A code alone does not explain severity, treatment plan, or outcome.
  • A medical code should not be treated as a substitute for a doctor's diagnosis or advice.

Code hierarchy

chapter
13Diseases of the musculoskeletal system and connective tissue (M00-M99)
block
M40-M54Dorsopathies
block
M45-M49Spondylopathies
category
M46Other inflammatory spondylopathies
currentM46

Where you may see this code

You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records.

Related specialists

Orthopedic SpecialistRheumatologist

Coverage-related procedures and services

CPT 64451high
INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; NERVES INNERVATING THE SACROILIAC JOINT, WITH IMAGE GUIDANCE (IE, FLUOROSCOPY OR COMPUTED TOMOGRAPHY)
Source: CMS coverage guidance
CPT 27279high
ARTHRODESIS, SACROILIAC JOINT, PERCUTANEOUS OR MINIMALLY INVASIVE, WITH IMAGE GUIDANCE, INCLUDES OBTAINING BONE GRAFT WHEN PERFORMED, UNILATERAL; PLACEMENT OF TRANSARTICULAR DEVICE(S) AND/OR INTRA-ARTICULAR DEVICE(S) PIERCING THE LATERAL OR MEDIAL CORTICES OF THE ILIUM AND THE LATERAL CORTEX OF THE SACRUM
Source: CMS coverage guidance
CPT 27096high
INJECTION PROCEDURE FOR SACROILIAC JOINT, ANESTHETIC/STEROID, WITH IMAGE GUIDANCE (FLUOROSCOPY OR CT) INCLUDING ARTHROGRAPHY WHEN PERFORMED
Source: CMS coverage guidance
CPT 97034high
APPLICATION OF A MODALITY TO 1 OR MORE AREAS; CONTRAST BATHS, EACH 15 MINUTES
Source: CMS coverage guidance
CPT 97032high
APPLICATION OF A MODALITY TO 1 OR MORE AREAS; ELECTRICAL STIMULATION (MANUAL), EACH 15 MINUTES
Source: CMS coverage guidance
CPT 97026high
APPLICATION OF A MODALITY TO 1 OR MORE AREAS; INFRARED
Source: CMS coverage guidance

Coding guidelines

Compatibility

Legacy and official ICD code match exactly.
Legacy codes
M46.1

Common synonyms

Sacroiliitis, not elsewhere classified

Frequently asked questions

Code details

CodeM46.1
SystemICD10
Display nameSacroiliitis, not elsewhere classified
ChapterDiseases of the musculoskeletal system and connective tissue (M00-M99)
BlockSpondylopathies

Flags

BillableYes
Valid clinical useYes

Source

SourceICD-10
Version2026-annual
Releaseannual
Year2026

Index terms

Matched terms
Change(s) (in) (of)Inflammation, inflamed, inflammatory(with exudation)Sacroiliitis NECSpondylitis(chronic)

About this content

This page is prepared by HealthAssure's clinical team using official coding standards from ICD-10. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.

ICD-10 Code M46.1 for Sacroiliitis, not elsewhere classified | HealthAssure