Laterality will need to be indicated another way. Youssef, MD ; Seth W. A coccygeal pit was. cutaneous manifestations were duplicated or bifurcated (46%) gluteal folds and gluteal asymmetry (16%). The 2024 edition of ICD-10-CM P83 became effective on October 1, 2023. Sacral dimples are relatively common, occurring in 2-4% of newborn infants. Pediatricians have been comfortable with assessing as insignificant the common low-lying midline dimple or deviated gluteal folds found at the nursery or first well-infant examination. The 2024 edition of ICD-10-CM Q92. e. 6 - Congenital sacral dimple. Figure 4. On follow-up 1 month later, a relatively good cosmetic outcome was noted, with a mild standing cone in the upper gluteal cleft. The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice. Although the literature suggests clinical consensus regarding some lumbosacral findings (simple dimples or slate gray macules), expert recommendations vary regarding the management of other findings (duplicated gluteal clefts or coccygeal or sacral hair). Re: Upper gluteal cleft (buttcrack) is bleeding. Approximate Synonyms. Read More. 1 Global variations in incidence have been reported, ranging from 0. It is designed by a fashion designer named Kimberly brewer. Infantile psoriasis is uncommon, and when it occurs it most typically affects the inguinal folds and gluteal cleft. basically, the top of his bum crack makes a y shape…The sacrotuberous ligament (STL) is a stabiliser of the sacroiliac joint and connects the bony pelvis to the vertebral column [1]. He presented with a verrucous wart-like midline mass on the superior gluteal cleft that had grown since his last resection. Pediatric ENT and Head and Neck Surgery 42 years experience. Y shaped gluteal waiting for scan. At her check up her doctor noticed that she has a y shaped gluteal crease. The 2024 edition of ICD-10-CM Q82. Inverse LP lesions are confined to the intertiginous zones, including the axillae, inguinal creases, gluteal cleft, limb flexures, and submammary region (Lehman et al. Applicable To. Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft Kaitlin N. Subcutaneous lipomas. E. Neural tube defects are among the most common forms of birth defect, affecting 1 in every 1,000 pregnancies. In cases of isolated bifid uvula, and in cases of submucous cleft palate without hypernasality, no surgical intervention is needed. Only $35. The health care provider is busy examining the newborn, but the mother is obviously aware that something is not right. 8% had deviated or duplicated gluteal creases, 15. Code Tree. 8%. 5 - other international versions of ICD-10 Q82. The key factors in performing this procedure are to flatten the entire gluteal cleft, remove all active pilonidal disease, and position. , 2013. 0):. I think getting the ultrasound is a great idea because we do want to see if there is an issue with the lower part of the spinal cord. k. Y Gluteal Cleft Baby. Design: Before-and-after trial. Children with sacral agenesis have characteristically flattened buttocks with a shallow gluteal cleft, a palpably absent coccyx, and distal leg wasting described as an. 6 Therefore, we could consider these patients low risk for. The management for this syndrome is individualized and may include surgical intervention to fuse or excise the duplicated organs. • Gluteal cleft anomalies other than dimples also have a weak association with milder forms of OSD and warrant further evaluation. 8% had deviated or duplicated gluteal creases, 15. R. Q82. Intertrigo may present as diaper. 5 cm above the anus) and solitary. 8 may differ. 3 March 2011 111 The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). Apr 10, 2017. I can’t help but worry!!!ICD 10 code for Other congenital malformations of spine, not associated with scoliosis. Causes. My newborn is 3. The 2024 edition of ICD-10-CM P13. The 2024 edition of ICD-10-CM Q82. from anal verge, multiple dimples, Skin lesions and Associations (duplicate gluteal cleft, asymmetrical intergluteal crease, skin tag, tail like appendages, hairy tuft, pigmentation,Had our first well check today and scheduled an ultrasound. P83 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. A sacral dimple is a small, usually shallow indentation in the small of the back, just above or within the crease of the buttocks. The rash presents as bright red, well-defined symmetrical plaques which are typically without the silvery white scale which may be seen at other sites, such as the scalp, trunk, periumbilical area, and extensor surfaces. Of 1096 infants included in the study, 24. The gluteal cleft shield is directly applied on the skin and fixes itself above the waistband. 2 deletion. More than 50% of OSDs are diagnosed when a dimple is noted, but obviously not all dimples are associated with an OSD. g. Figure 4. This causes the affected foot to have missing toes, a V-shaped cleft, and other anatomical differences. 438 Clarendon Street, South Melbourne, VIC 3205. I’m emailing her doctor, but wondering if anyone else has noticed the same or experienced something like this??There was a notable lack of consensus on the appropriate management of certain gluteal cleft deviations and cutaneous vascular marks. Birth weight is down by 5. Introduction. Code. In most cases, there are no problems at birth. swelling in the area. In association with other OSD associated congenital abnormalities like CEARMSGuideline for investigation of lumbosacral skin lesions in newborn infants WAHT-PAE-016 Page 1 of 6 Version 3. Results. Anatomical structures that exit the pelvis deep to the inguinal ligament are, from lateral to medial, the femoral nerve, the external iliac to the femoral artery, and the external iliac to femoral vein. 딤플보다 엉덩이 틈새 (gluteal cleft) 기형 은 경증 OSD와 연관성이 있어 꼭 추가적인 검사 를 해야해요. What is a Pilonidial Cyst? The term pilonidal cyst comes from the Latin words, “pilus” (hair) and “nidus” (nest). 6%, and flat vascular macules in 1. The patient is intubated on a sterile draw. 0 may differ. Skin stigmata were classified into seven types, dimple, deformed gluteal cleft, hair, subcutaneous mass, appendage, discoloration, and protruding bone, and included 1056 isolated and 199 complex ones. Article. A sacral dimple can be a sign of a serious spinal problem in a newborn if the dimple is large or appears. The 2024 edition of ICD-10-CM M26. A pilonidal cyst is a fluid-filled sac under the skin in the lower back, near the crease of the buttocks. 9 may differ. ICD 9 Code: 685. The estimated overall incidence of pilonidal disease is 26:100,000. Sacral dimple ultrasound – sagittal ultrasound showing normal conus level and no underlying spinal dysraphism (red circle is approximate area of cutaneous sacral dimple) Asymmetry. A recent meta-analysis of 6,143 studies by Stauffer et al. 5 may differ. I never thought to bring it up to the doctor until recently when my mom said it’s not normal. Ultrapotent or mid-potent corticosteroid creams alleviated the symptoms only slightly when used twice a day for 2–3 weeks. Spinal dysraphism encompasses congenital problems that result in an abnormal bony formation of the spine and/or the spinal cord. 6 Therefore, we could consider these patients low risk for having OSD. For some babies, both the front and back parts of the palate are open. Congenital sacral dimple. Two pilonidal cysts that have formed in the gluteal cleft of an adult man. For patients with certain risk factors and a normal examination the Guidelines of the American Academy of Pediatrics state, “…imaging with an. In every method, the most important aspect is keeping the order of. An inconspicious examination does not need a further imaging, but suspicious results of sonography need an MR imaging dependent of clinical conditions. E. from anal verge, multiple dimples, Skin lesions and Associations (duplicate gluteal cleft, asymmetrical intergluteal crease, skin tag, tail like appendages, hairy tuft, pigmentation,Anomalies of the gluteal crease had the lowest proportion of agreement. 34 became effective on October 1, 2023. 5 cm from anus • Less than 5 mm diameter • Localized in gluteal cleftThe initial examination within the first 24 hours of birth is critical in determining newborn patients' general well-being and identifying any red flags that may warrant further evaluation. 7% had lumbosacral and/or coccygeal hairiness. A total of 34 (24%) patients had an abnormal spinal US; 15 (44%. My oldest has a “duplicated gluteal cleft” which is also a marker for spina bifida. There are many approaches to examining a newborn, many of which are acceptable. This persisted at 6-month follow up imaging. Most sacral dimples are harmless and don’t need treatment. Cute vs. Pilonidal sinuses are characterized by natal cleft suppuration and are thought to initially result from a hair follicle infection. Q82. The code is exempt from present on admission (POA) reporting for inpatient. The 2024 edition of ICD-10-CM P92. Variation in Management of Cutaneous Lumbosacral Findings in Newborns. She is almost 2 and it has caused her no problems thus far. Intertrigo is inflammation of skinfolds caused by skin-on-skin friction. M26. This is the American ICD-10-CM version of Q63. 2 - other international versions of ICD-10 Q84. A cleft lip and cleft palate are openings in a baby's upper lip or roof of the mouth (palate). The Dr said its not attached & not to worry. 6%, dimples in 16%, increased lumbosacral/coccygeal hair in 24. Fetal macrosomia, one of most important fetal growth disorders, is defined as “a weight at birth higher than the 90 th. It is also known as the “butt crack” and “intergluteal cleft. It is the deep furrow or groove that lies between the two gluteal regions (commonly known as the buttocks). 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Asymmetrical buttock creases can suggest hip dysplasia in infants but, like a hip click, an ultrasound or x-ray study will need to be done to determine whether the hips are normal or not. The purpose of this study was to illustrate the spectrum of solitary gluteal lesions in children. my full-term newborn boy has an asymmetric 'y' shaped crease at the top of his intergluteal cleft. A laryngeal cleft (or laryngotracheal cleft) is an abnormal opening between the larynx and the esophagus through which food and liquid can pass through the larynx into the lungs. 5 cm. 32 No. A pilonidal cyst, also referred to as a pilonidal abscess, pilonidal sinus or sacrococcygeal fistula, is a cyst or abscess near or on the natal cleft of the buttocks that often contains hair and skin debris. When an infant is born with skin lesions or abnormalities of the lower back or gluteal cleft, the possibility of an association with spinal malformations, such as tethered cord syndrome, often prompts pediatricians to recommend spinal imaging. Feb 4, 2023 at 3:55 PM. The patient was born at 40 weeks and 1 day of gestation to a 21-year-old gravida 2 now para 2 mother by vaginal delivery. Indications for imaging included isolated dimple in 235 patients (45%), asymmetrically deviated gluteal cleft in 43 (8%), symmetrically deviated (Y-shaped) gluteal cleft in 38 (7%), hemangioma in 28 (5%), other isolated cutaneous stigmata (subcutaneous lipoma, vestigial tail, hairy patch, and dysplastic skin) in 31 (6%), several of the above. ICD-10-CM Coding Rules. there is a duplicated gluteal cleft; there is more than one dimple; the dimple lies outside the sacrococcygeal region; there are any neurological abnormalities noted; The above may be associated with an underlying neurological problem, for example spinal dysraphism. NEUROLOGIC: Normal tone. We found deviated or duplicated gluteal creases in 24. Bust get. Sacral dimple ultrasound – sagittal ultrasound showing normal conus level and no underlying spinal dysraphism (red circle is approximate area of cutaneous sacral dimple)A bifurcated gluteal cleft or bifurcated gluteal fold certainly can be a concern, it puts the child at risk for what’s called tethered cord syndrome. I've never heard of such a thing before he was born. Synonyms: aberrant forearm flexor muscle, aberrant. They have no associated abnormalities (hairs, skin markings, etc. gluteal crease anatomy. #5. This is mostly a problem with HSG preoperative evaluation. Screening for spinal dysraphisms in newborns with sacral dimples (2016) A. 8 is a billable diagnosis code used to specify a medical diagnosis of other specified congenital malformations of skin. The gluteal cleft and the gluteal fold both occur normally in humans. Objective. Intertrigo is a superficial inflammatory dermatitis occurring on two closely opposed skin surfaces as a result of moisture, friction, and lack of ventilation. Q82. Congenital dermal sinus form due to a focal failure of dysjunction between the cutaneous ectoderm and. Bilateral gluteal tendinitis; Gluteal tendinitis of left hip; Left gluteal tendinitis; Tendinitis of bilateral gluteal tendons. 2 The bruises appear to result from compressing/shearing forces arising during abusive spanking (Figure 3). The 2024 edition of ICD-10-CM Q63. Created for people with ongoing healthcare needs but benefits everyone. Q84. Gluteal cleft synonyms, Gluteal cleft pronunciation, Gluteal cleft translation, English dictionary definition of Gluteal cleft. The code is exempt from present on admission (POA) reporting for. The buttocks are retracted laterally with adhesive tape to expose the gluteal cleft. Q18. Ultrasound is valuable for imaging of infants and young children and for. A new paradigm suggests that a procedure to change the shape of the gluteal cleft will improve results. Of 1096 infants included in the study, 24. He had an ultrasound at a week old and it. 34 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 604 Trauma to the skin, subcutaneous tissue and breast with mcc; 605 Trauma to the skin, subcutaneous tissue and breast without mcc; 963 Other multiple significant trauma. Cute vs. D. Although fistulas above the gluteal cleft may be. Had our first well check today and scheduled an ultrasound. basically, the top of his bum crack. In the pressure ulcer, the most important etiologic factor is pressure. Personal history of (corrected) cleft lip and palate. According to his pediatrician it was only done out of an abundance of caution and typically there are two or more markers for spina bifida. All racial/ethnic groups had double to quadruple the risk of lumbosacral hair when compared with. This can cause problems starting around age 2-3 (potty training age) is when parents start to see some signs. In newborns, the diagnosis is very ambiguous due to physiologic instability originating from the inborn laxity. Open neural tube defects are lesions in which brain, spinal. 730 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 deletion syndrome include heart defects, poor immune system function, a cleft palate, complications related to low levels of calcium in the blood, and delayed development with behavioral and emotional problems. 6% had dimples. [Zywicke, 2011] Neural Tube Defects: [Zywicke, 2011] Open vs Closed. 6% had dimples, and 24. 8. Most sacral dimples are harmless and don't need treatment. The internet is a wonderful resourceWe would like to show you a description here but the site won’t allow us. The literature reports median tongue clefts only to be associated with orofacial digital syndromes type I, II, IV and VI. We have been told our 6 week old son has a forked gluteal (naval) cleft or I y-shaped crease at the top of his button crack. GameStop Moderna Pfizer Johnson & Johnson AstraZeneca Walgreens Best Buy Novavax SpaceX Tesla. Pediatricians should be familiarOBJECTIVE. 9 - other international versions of ICD-10 Q35. Hey Ladies. 4). 71: Circumcision: Duplicated gluteal fold, coccygeal pit: CM ends at L2-3: N/A: N/A -5% duplicated gluteal cleft . Tinea cruris is usually due to T. The. Now I’m freaking myself out because everything. Single Codes *Texas uses this code for any cleft. Background. Sign up. Not Included Here. The remainder of the exam was essentially normal. g. Fig. The primary intertriginous skin areas include the groin folds, axillae, and gluteal cleft. nervous system sacral dimples Pediatrics in Review Vol. Coccygeal pits are distinctly different from dermal sinuses and may occur at rates as high as 4% in the general population. Bust get. I’ve noticed my baby has a Y shaped cleft on her bottom. Cleft of earlobe (left), earlobe duplication (middle), and skin tag on the back of the earlobe (right). [2–4] These syndromes are all associated with median lip and/or mandibular clefts and digital variations. 9 became effective on October 1, 2023. The lesions appeared to spare the central crease and were tender. Our content is doctor approved and evidence based, and our community is moderated, lively, and welcoming. Q36. Cleft Palate A cleft palate is a birth defect characterized by an opening in the roof of the mouth, caused by a lack of tissue development. Q82. The urethra is absent: A fibrous cord into the anterior wall of the rectum:. 5cm · >5mm diameter · Not midline in location · Base not visible (Schenk, 2006) Return to Referral and Diagnosis Return to Surgery and Follow-up Simple Sacral Intragluteal Dimple Dimple within a symmetric gluteal crease AND less than 5 m i nd a etrWITH h sc u abno m l it es A soc ia t. Figure 4. 2, 3 Abnormal antenatal US scan of spinal column 4. Figure 2. Gluteal Muscles. Intergluteal cleft Gluteal Fold Gluteal Sulcus Iliac Crest Dimple for. Pressure injuries, however, are ischemic injuries to the skin and underlying soft tissue that can result in full-thickness tissue damage. Final. Verrucous porokeratosis of the gluteal cleft is a . This is the American ICD-10-CM version of Q35. Subjects. Duplicated gluteal crease. Pediatricians have been comfortable with assessing as insignificant the common low-lying midline dimple or deviated gluteal folds found at the nursery or first well-infant examination. Issued by: Centers for Medicare & Medicaid Services (CMS) DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically. Had our first well check today and scheduled an ultrasound. there is a duplicated gluteal cleft; there is more with one dimple; the dimple liars outside the sacrococcygeal region; there are any neurological disease remember; The above may becoming associated with an underlying neurological problem, for example backbone dysraphism. [2–4] These syndromes are all associated with median lip and/or mandibular clefts and digital variations. It is decorated from the upper side with rhinestones and colorful studs. Now I’m freaking myself out because everything you see on google says tethered spinal cord. Results: The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). basically, the top of his bum crack makes a y shape when. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. little man has a duplicated gluteal cleft. View article titled, Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft. 2, 3 It is most commonly encountered in young men in their 20s and 30s, although women can also be affected. They don't usually cause problems or need treatment unless they get infected. A cross-sectional assessment of cutaneous lumbosacral and coccygeal physical examination findings in a. 1 may differ. Dimensions of the proposed intramuscular pocket are designed and the bilateral gluteal cleft incisions are marked. The birthing room suddenly becomes very quiet, and the birth team seems somber. She took some pictures and sent them to a neurosurgeon who said we. 2 became effective on October 1, 2023. 419 may differ. Read More. basically, the top of his bum crack makes a y shape…Had our first well check today and scheduled an ultrasound. The hub of the catheter was secured in the , and the patient's features of sepsis improved over. little man has a duplicated gluteal cleft. Most patients are asymptomatic and lack neurologic signs, and the condition is usually of no consequence. I’m worried sick 😩😭. ICD-10-CM Diagnosis Code R19. A cross-sectional assessment of cutaneous lumbosacral and coccygeal physical examination findings in a. The differentiation between the potentially dangerous dimples associated with dermal sinus, which can lead to meningitis and the harmless coccygeal dimple in the cranial gluteal cleft is presented. little man has a duplicated gluteal cleft. Laceration of left buttock; Left buttock laceration; Stab wound of left buttock; ICD-10-CM S31. Pathology showed squamous cell carcinoma with tumor-free margins, and further imaging showed no evidence of. Because most studies on gluteal cleft shaving have used an arbitrary manner and method, effective frequency and extent of shaving have not been systematically studied. 5cms from anal verge o Vascular lesion e. Ems0. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Prevention. Visited with specialists to better understand her asymmetrical duplicated gluteal cleft, lumbar hemangioma, and then a CT and swallow study to help us figure out her NeuroEndocrine Cell Hypoplasia of Infancy. A sacral dimple is a small dent or depression in your child’s lower back near the crease of their buttocks. Pain or tingling the legs or back; Curvature of the spine Q82. With thousands of award-winning articles and community groups, you can track your. 5 may differ. In newborns, the diagnosis is very ambiguous due to physiologic instability originating from the inborn laxity. Asymmetric Y-shaped gluteal cleft that is moderately associated with spinal dysraphism except if present with other lesions. 5 cm above the anus) and. Sacral epidermal anomalies include dimples, tracts, lipomas, hemangiomas, and tufts of hair and may be associated with a neural tube defect, such as spina bifida. Motor/sensory grossly normal. It extends from sacral level S3 or S4 and ends just inferior to the apex of the sacrum, at the level of the anus. Sometimes called the Cleft procedure, this surgery removes all the skin covering the involved area. Spinal dysraphism refers to a group of congenital spinal anomalies resulting from incomplete closure of the neural tube early in fetal life. 419 became effective on October 1, 2023. P92. Risk factors for this disease include obesity, prolonged sitting, and abundance of gluteal hair. 1% (in Germany) to as high as 6. Duplicated Gluteal Cleft a Aju1985 Posted 06-05-18 Had our first well check today and scheduled an ultrasound. ICD-10-CM Q18. 8 is a billable diagnosis code used to specify a medical diagnosis of other specified congenital malformations of skin. 6 - Congenital sacral dimple. It has over 40,000 names organized gluteal cleft newborn. [Billable] [POA Exempt] There's more to see -- the rest of this topic is available only to subscribers. FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. To assess the clinical and economic consequences of different diagnostic strategies in newborns with suspected occult spinal dysraphism. This condition is. Hi moms! I am a FTM with 2 week old. The purpose of this study is to describe the range and frequency of cutaneous lumbosacral and coccygeal findings encountered during the newborn examination in a population of apparently healthy. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Had our first well check today and scheduled an ultrasound. This type of back dimple is directly superficial to the two sacroiliac joints, where the sacrum attaches to the ilium of the pelvis. The cleft lift procedure was described by Dr. 1 The incidence of spinal. The 2024 edition of ICD-10-CM Q63. This was a modification of the Karydakis procedure, which is an off-midline closure operation, described by Dr. The manage-ment of a “dimple” alone, however, demands greaterThe most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). Anus opening absent, gluteal cleft, and anal dimple not well developed. 110 749. John Bascom in Eugene, Oregon, developed a variation of the operation called the “Cleft Lift. It causes a deformity of the lip, nose and upper jaw. Our content is doctor approved evidence based, and our community is moderated, lively, and welcoming. . This can then lead to the subsequent formation of a subcutaneous abscess from a persistent folliculitis. (e. 100 749. This could be a sign of a spinal cord tether, spinabifida etc. A duplicated gluteal cleft associated with occult spinal dysraphism. 120 Q36. IP is usually found in the groins, vulva, axillae, submammary folds, gluteal cleft, navel, intergluteal crease, penis, lips, and web spaces. All newborns undergo an examination of the. 1%, coccygeal skin tags in 0. The estimated overall incidence of pilonidal disease is 26:100,000. Subcutaneous lipomas. 2, 3 It is most commonly encountered in young men in their 20s and 30s, although women can also be affected. If a sacral dimple is paired with other symptoms such as bruising, tufts of hair or skin tags, it could be a sign of a spinal condition. Sacral dimple newborn – a prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. Thirty-seven (14. nervous system sacral dimples Pediatrics in. 02) and (2) deviated gluteal crease (P = . Pilonidal cysts can range from abscesses — painful collections of pus — to sinuses, and lead to persistent bloody drainage. 7% had lumbosacral and/or coccygeal hairiness. If the base could not be seen, this would be called a coccygeal pit. Body habitus may contribute to additional intertriginous sites, such as inframammary skin and. The 2024 edition of ICD-10-CM Q37. A cleft lip is a birth defect that results in a unilateral or bilateral opening in the upper lip between the mouth and the nose. The authors gathered clinical illustrations of gluteal cleft wounds and conducted a literature search as a basis for presentation to conference attendees, with the goal of gaining consensus regarding guidelines for accurate classification of these wounds. They can rule out a tethered spinal cord for her through an MRI when she is older. Applicable To. Usually occur in combination of other masses, e. com. Had our first well check today and scheduled an ultrasound. Indications for imaging included isolated dimple in 235 patients (45%), asymmetrically deviated gluteal cleft in 43 (8%), symmetrically deviated (Y-shaped) gluteal cleft in 38 (7%), hemangioma in 28 (5%), other isolated cutaneous stigmata (subcutaneous lipoma, vestigial tail, hairy patch, and dysplastic skin) in 31 (6%), several of the above. basically, the top of his bum crack makes a y shape…newborns at least 35 weeks or greater gestational age under the authors’ care. 5 became effective on October 1, 2023. 1 The codes do not provide for coding right/left laterality. 9 - other international versions of ICD-10 Q37. CONCLUSION. [1]. 8% had deviated or duplicated gluteal creases, 15. ICD-10-CM Diagnosis Code M76. 8 became effective on October 1, 2023. Q82. 7% had lumbosacral and/or coccygeal hairiness.