ICD-10-PCS Code For Sacrum: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 7W04 includes procedures performed to treat somatic dysfunction and related disorders of the sacrum. These ICD-10-PCS codes are used for inpatient documentation when osteopathic manual treatment is provided to address sacral somatic dysfunction or related musculoskeletal complaints. Accurate coding within the ICD-10-PCS 7W04 group is essential for proper inpatient reimbursement, as it captures the specific treatment performed and supports clinical documentation accuracy.

Customize your policy alerts

Sign up for ICD-10-PCS Code For Sacrum: Procedure Code Group Overview policy alerts

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Sacrum Treatment Procedure Overview

Procedures in ICD-10 PCS 7W04 involve manual osteopathic treatment applied directly to the sacrum to eliminate or alleviate somatic dysfunction and related disorders. These procedures target the anatomical regions body system and are performed as treatment within the Osteopathic section of ICD-10-PCS. Accurate coding ensures inpatient records reflect the specific treatment performed on the sacrum and supports appropriate case mix assignment and reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
7	Section	Osteopathic
W	Body System	Anatomical Regions
0	Operation	Treatment
4	Body Part	Sacrum

Explore openpayer tools

View all tools

ICD-10-PCS Code For Sacrum: Procedure Code Group Overview

Customize your policy alerts

Sign up for ICD-10-PCS Code For Sacrum: Procedure Code Group Overview policy alerts

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Sacrum Treatment Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
7	Section	Osteopathic
W	Body System	Anatomical Regions
0	Operation	Treatment
4	Body Part	Sacrum

When to Use

Use a code from this group when inpatient osteopathic manual treatment is performed specifically on the sacrum to correct or alleviate somatic dysfunction. Select the code that matches the documented treatment type and sacral location to ensure accurate inpatient reporting.

ICD-10-PCS Codes

10 rows

ICD-10-PCS Code	Description
7W04X0Z	Osteopathic Treatment of Sacrum using Articulatory-Raising Forces
7W04X1Z	Osteopathic Treatment of Sacrum using Fascial Release
7W04X2Z	Osteopathic Treatment of Sacrum using General Mobilization
7W04X3Z	Osteopathic Treatment of Sacrum using High Velocity-Low Amplitude Forces
7W04X4Z	Osteopathic Treatment of Sacrum using Indirect Forces
7W04X5Z	Osteopathic Treatment of Sacrum using Low Velocity-High Amplitude Forces
7W04X6Z	Osteopathic Treatment of Sacrum using Lymphatic Pump
7W04X7Z	Osteopathic Treatment of Sacrum using Muscle Energy-Isometric Forces
7W04X8Z	Osteopathic Treatment of Sacrum using Muscle Energy-Isotonic Forces
7W04X9Z	Osteopathic Treatment of Sacrum using Other Method

Typical Clinical Scenarios

An elderly patient is admitted from the emergency department after a fall at home with acute low back and buttock pain localized to the sacral region and new limited sacral motion on exam; inpatient osteopathic manual treatment is used to restore sacral mobility and reduce pain as part of acute inpatient management. Typical codes: 7W04X3Z, 7W04X2Z
A middle-aged patient hospitalized for postoperative recovery following pelvic surgery develops sacral somatic dysfunction with persistent pelvic girdle discomfort and restricted sacral mechanics impairing mobilization; a planned inpatient osteopathic treatment session targets the sacrum to improve function and facilitate rehabilitation. Typical codes: 7W04X1Z, 7W04X7Z
A patient with chronic sacroiliac pain and lymphedema exacerbation is admitted for intensive symptom control and physical therapy; osteopathic lymphatic pump techniques and indirect sacral release are provided during the inpatient stay to address lymphatic congestion and alleviate chronic sacral somatic dysfunction. Typical codes: 7W04X6Z, 7W04X4Z

Related Codes

7W00-HEAD-TREATMENT

ICD-10-PCS Code For Head: Procedure Code Group Overview

7W01-CERVICAL-TREATMENT

ICD-10-PCS Code For Cervical: Procedure Code Group Overview

7W02-THORACIC-TREATMENT

ICD-10-PCS Code For Thoracic: Procedure Code Group Overview

7W03-LUMBAR-TREATMENT

ICD-10-PCS Code For Lumbar: Procedure Code Group Overview

7W05-PELVIS-TREATMENT

ICD-10-PCS Code For Pelvis: Procedure Code Group Overview

7W06-LOWER-EXTREMITIES-TREATMENT

ICD-10-PCS Code For Lower Extremities: Procedure Code Group Overview

7W07-UPPER-EXTREMITIES-TREATMENT

ICD-10-PCS Code For Upper Extremities: Procedure Code Group Overview

7W08-RIB-CAGE-TREATMENT

ICD-10-PCS Code For Rib Cage: Procedure Code Group Overview

7W09-ABDOMEN-TREATMENT

ICD-10-PCS Code For Abdomen: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

When to Use

ICD-10-PCS Codes

10 rows

ICD-10-PCS Code	Description
7W04X0Z	Osteopathic Treatment of Sacrum using Articulatory-Raising Forces
7W04X1Z	Osteopathic Treatment of Sacrum using Fascial Release
7W04X2Z	Osteopathic Treatment of Sacrum using General Mobilization
7W04X3Z	Osteopathic Treatment of Sacrum using High Velocity-Low Amplitude Forces
7W04X4Z	Osteopathic Treatment of Sacrum using Indirect Forces
7W04X5Z	Osteopathic Treatment of Sacrum using Low Velocity-High Amplitude Forces
7W04X6Z	Osteopathic Treatment of Sacrum using Lymphatic Pump
7W04X7Z	Osteopathic Treatment of Sacrum using Muscle Energy-Isometric Forces
7W04X8Z	Osteopathic Treatment of Sacrum using Muscle Energy-Isotonic Forces
7W04X9Z	Osteopathic Treatment of Sacrum using Other Method

Typical Clinical Scenarios

An elderly patient is admitted from the emergency department after a fall at home with acute low back and buttock pain localized to the sacral region and new limited sacral motion on exam; inpatient osteopathic manual treatment is used to restore sacral mobility and reduce pain as part of acute inpatient management. Typical codes: 7W04X3Z, 7W04X2Z
A middle-aged patient hospitalized for postoperative recovery following pelvic surgery develops sacral somatic dysfunction with persistent pelvic girdle discomfort and restricted sacral mechanics impairing mobilization; a planned inpatient osteopathic treatment session targets the sacrum to improve function and facilitate rehabilitation. Typical codes: 7W04X1Z, 7W04X7Z
A patient with chronic sacroiliac pain and lymphedema exacerbation is admitted for intensive symptom control and physical therapy; osteopathic lymphatic pump techniques and indirect sacral release are provided during the inpatient stay to address lymphatic congestion and alleviate chronic sacral somatic dysfunction. Typical codes: 7W04X6Z, 7W04X4Z

Related Codes

7W00-HEAD-TREATMENT

ICD-10-PCS Code For Head: Procedure Code Group Overview

7W01-CERVICAL-TREATMENT

ICD-10-PCS Code For Cervical: Procedure Code Group Overview

7W02-THORACIC-TREATMENT

ICD-10-PCS Code For Thoracic: Procedure Code Group Overview

7W03-LUMBAR-TREATMENT

ICD-10-PCS Code For Lumbar: Procedure Code Group Overview

7W05-PELVIS-TREATMENT

ICD-10-PCS Code For Pelvis: Procedure Code Group Overview

7W06-LOWER-EXTREMITIES-TREATMENT

ICD-10-PCS Code For Lower Extremities: Procedure Code Group Overview

7W07-UPPER-EXTREMITIES-TREATMENT

ICD-10-PCS Code For Upper Extremities: Procedure Code Group Overview

7W08-RIB-CAGE-TREATMENT

ICD-10-PCS Code For Rib Cage: Procedure Code Group Overview

7W09-ABDOMEN-TREATMENT

ICD-10-PCS Code For Abdomen: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Sacrum: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Sacrum: Procedure Code Group Overview policy alerts

Sacrum Treatment Procedure Overview

Code Attributes

ICD-10-PCS Code For Sacrum: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Sacrum: Procedure Code Group Overview policy alerts

Sacrum Treatment Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and body system does the 7W04 code group belong to?

What is the clinical purpose of procedures captured by ICD-10-PCS group 7W04?

How should individual procedure methods in the 7W04 group be documented in inpatient records?

Which specific code represents osteopathic treatment of the sacrum using high velocity–low amplitude forces?

Why is correct coding of ICD-10-PCS 7W04 important for inpatient reimbursement?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and body system does the 7W04 code group belong to?

What is the clinical purpose of procedures captured by ICD-10-PCS group 7W04?

How should individual procedure methods in the 7W04 group be documented in inpatient records?

Which specific code represents osteopathic treatment of the sacrum using high velocity–low amplitude forces?

Why is correct coding of ICD-10-PCS 7W04 important for inpatient reimbursement?

References