Body habitus may contribute to additional intertriginous sites, such as inframammary skin and. Almost always, if the dimple is within the gluteal crease, there is no underlying spinal abnormality and no investigation is necessary. 9 may differ. 6% had dimples, and 24. A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. This baby’s gluteal creases are uneven (note yellow lines). Download MyChart to connect with your care team. Had our first well check today and scheduled an ultrasound. 딤플보다 엉덩이 틈새 (gluteal cleft) 기형 은 경증 OSD와 연관성이 있어 꼭 추가적인 검사 를 해야해요. The estimated overall incidence of pilonidal disease is 26:100,000. Cleft lip, bilateral. 1, 7, 8 Radiographic evaluations in infants under 4 months of age are also reported to be unreliable. little man has a duplicated gluteal cleft. Hypothesis: Refractory pilonidal disease is due to damage of the epidermis in the deep gluteal cleft by moisture and bacteria, rather than to damage in deep tissues. not so much: Pilonidal "dimples" are properly called "pits", are always in the midline in the gluteal cleft, and are where infection of the pilonidal cyst starts, as dislodged hairs can work themselves into these. basically, the top of his bum crack makes a y shape when squished together instead of staying straight. It is decorated from the upper side with rhinestones and colorful studs. Similar. They are a rare type of ear deformities. Is in the shape of a fan located in the posterior pelvis, on both sides and connects the sacrum to the iliac tuberosities. This is the American ICD-10-CM version of M67. A. 0 may differ. A. 5 cm above the anus or proximate to the coccyx, and deviated gluteal folds (DGF) including all types of folds (bifid and split symmetrical without underlying. Q84. Study sets, textbooks, questions. Ultrapotent or mid-potent corticosteroid creams alleviated the symptoms only slightly when used twice a day for 2–3 weeks. I can’t help but worry!!!ICD 10 code for Other congenital malformations of spine, not associated with scoliosis. Change diapers promptly after voiding or soiling. A 71-year-old woman with no relevant medical history presented with recurrent painful erosions on the gingivae and gluteal cleft of 1 year’s duration. A crooked crease between the buttocks. 0 Central cleft lip 749. 0 became effective on October 1, 2023. Epigastric mass; Epigastric swelling, mass. 21 A skin dimple is present on the flat portion of the sacrum well above the upper end of the gluteal cleft. May 2020; Hospital Pediatrics 10(6)D ISCUSSION. 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]. k. George Karydakis in 1973. There is no dimple, hairs or discolouration but the doctor wasn't sure if we should see a paediatrician. zoemcr. Lumbosacral and/or coccygeal hairiness could be found in some neonates, together with dimples and deviated or duplicated gluteal creases, which may be insignificant findings in low-risk newborns. This is mostly a problem with HSG preoperative evaluation. The gluteal cleft of the left twin (black arrowhead) and the three lower. 0 - other international versions of ICD-10 Q36. 중복 엉덩이 틈새 (duplicated gluteal cleft)로 OSD와 연관되어 있어요. The bottom of the dimple may not be visible, and sometimes the dimple is accompanied by changes in skin. So, Ortolani-Barlow – not a great test for picking up DDH – in that a normal test doesn’t rule. Remove the tibia and fibula. Our study found that cutaneous lumbosacral findings are more common in well newborns than previously reported. 8 may differ. ”. Infantile psoriasis is uncommon, and when it occurs it most typically affects the inguinal folds and gluteal cleft. hemangioma, telangiectasia The 2024 edition of ICD-10-CM P01. skin tags. hemangioma, telangiectasiaThe 2024 edition of ICD-10-CM P01. 1 may differ. 02). nervous system sacral dimples Pediatrics in Review Vol. Intertrigo is a superficial inflammatory dermatitis occurring on two closely opposed skin surfaces as a result of moisture, friction, and lack of ventilation. Present On Admission. The 2024 edition of ICD-10-CM Q84. long trunk, Y-shaped gluteal cleft, anteriorly displaced anus, clinodactyly, deep furrow and increased space between first and second toes, central and peripheral hypotonia, complete agenesis. 중복 엉덩이 틈새 (duplicated gluteal cleft)로 OSD와 연관되어 있어요. Posted 06-24-17. Pediatricians should be familiarOBJECTIVE. The patient is intubated on a sterile draw. May 6, 2021 at 5:44 AM. 5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 0. Newborns who became symptomatic were further evaluated and/or treated with antibiotics. Ahn, MD ; Molly J. It extends from the upper iliac crests to the lower gluteal fold of the skin. 4,16,18,19 A simple sacral dimple is located in the midline, within the gluteal cleft, has a diameter less than 5 mm, and is less than 2. 1% (in Germany) to as high as 6. This is the American ICD-10-CM version of P54. They don't usually cause problems or need treatment unless they get infected. k. Laterality will need to be indicated another way. A decision-analytic model was constructed to project the cost and health outcomes of magnetic resonance imaging (MRI), ultrasound (US), plain radiographs, and no imaging in newborns with suspected occult spinal dysraphism. 6 became effective on October 1, 2021. The 2024 edition of ICD-10-CM Q63. Congenital branchial cleft anomaly. Mark: Sounds as though you may have developed a fissure, or something like it. The management for this syndrome is individualized and may include surgical intervention to fuse or excise the duplicated organs. Patient 3 (J. Prevention. 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. Expand all. Newborns who became symptomatic were further evaluated and/or treated with antibiotics. 2 is considered exempt from POA reporting. Stumbling or changes in gait or walking. P. Findings present in 11% of healthy newborns are unlikely to be useful markers for a rare condition like OSD (estimated incidence 0. 6 became effective on October 1, 2023. Applicable To. A 35-year-old patient is pictured in 2B 6 months after combined bilateral pudendal and gluteal flap pelvic reconstruction. John Bascom in 1987. 1 Atypical Sacral Dimple: Not in midline, not in sacrococcygeal region, >5 mm deep, >2. Oct 16, 2008 #2 you're joking right? ? M. About 3 to 8 percent of the population has a sacral dimple. 95. I'm on this particular Dx right now with a progress note - "Pain in Right Gluteal Region". If the base could not be seen, this would be called a coccygeal pit. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). 6 Therefore, we could consider these patients low risk for. com. 7% had lumbosacral and/or coccygeal hairiness. It has over 40,000 names organized gluteal cleft newborn. Caudal duplication syndrome (CDS) is a rare disease entity with prevalence of less than 1 per 100,000 at birth. NEUROLOGIC: Normal tone. Y shaped gluteal cleft. Cleft foot is a rare congenital (meaning your baby was born with it) anomaly in which the foot didn’t develop properly during fetal development. It is also known as the “butt crack” and “intergluteal cleft. My oldest has a “duplicated gluteal cleft” which is also a marker for spina bifida. Skin. Created for people with ongoing healthcare needs but benefits everyone. 02). Intertrigo may present as diaper. 2 Coccygeal pits lie between the gluteal clefts, are oriented caudally, and typically do not have a deeper pathology, whereas dermal sinuses lie superior to the gluteal clefts, are oriented cephalically, 2,7 and in an. and E. ICD-10-CM Coding Rules. e. CryptoThe intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. May 6, 2021 at 5:44 AM. Non-duplicate identified articles were independently reviewed by two authors (J. The literature reports median tongue clefts only to be associated with orofacial digital syndromes type I, II, IV and VI. The gluteal cleft and the gluteal fold both occur normally in humans. there is a duplicated gluteal cleft; there has more than an dimple; the dimple rests outside the sacrococcygeal region; there are any neurological deformity noted The above may be associated to into underlying neurological problem, on example vertebral dysraphism. Pilonidal cysts and sinuses are a spectrum of pilonidal disease conditions that occur between the buttocks (gluteal crease or cleft) near the tailbone in the lower back. Sacral dimple ultrasound – sagittal ultrasound showing normal conus level and no underlying spinal dysraphism (red circle is approximate area of cutaneous sacral dimple) Asymmetry. 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. Two pilonidal cysts that have formed in the gluteal cleft of an adult man. The key factors in performing this procedure are to flatten the entire gluteal cleft, remove all active pilonidal disease, and position. , hemangiomas. Applicable To. Should we be worried? Results: The most common LsCMs were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). Our content is doctor approved evidence based, and our community is moderated, lively, and welcoming. 14, 15 Therefore, the authors believe that excluding the infants aged <4 months would contribute to more reliability and consistency. Cranial nerves grossly intact. The current prospective study from Tel Aviv assessed 254 infants less than 6 months of age who were referred for neurosurgical consultation; 154 had these isolated, low-risk skin. 6%, dimples in 16%, increased lumbosacral/coccygeal hair in 24. Has anyone had any expierence with this ?Answer: Gluteal cleft. No other skin changes are seen. A pilonidal cyst is a cyst-like structure that develops in the upper portion of the crease between the buttocks. kdmahnke13. A review of 5 cases described a characteristic clinical presentation of a butterfly-shaped bilateral gluteal cleft lesion on most patients. Lumbosacral and/or coccygeal hairiness could be found in some neonates, together with dimples and deviated or duplicated gluteal creases, which may be insignificant findings in low-risk newborns. Sometimes called the Cleft procedure, this surgery removes all the skin covering the involved area. ), and relevant articles were selected by mutual agreement. Methods. . At 2 week app pediatrician said baby has a y shaped butt crack which could be a indicator of spina bifida or tethered cord. 5 cm above the anus) and solitary. Specialty: General Surgery. Q82. Attempted resection of a bicornuate uterus "septum". Results: The most common LsCMs were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). Medical problems commonly associated with 22q11. Venus dimples are two dimples that appear on the lower back, just above the gluteal cleft. The 2024 edition of ICD-10-CM Q84. A cross-sectional assessment of cutaneous lumbosacral and coccygeal physical examination findings in a. The 2024 edition of ICD-10-CM Q82. Gluteal Region – Earth's Lab. ANSWER: SACRAL DIMPLE. The 2024 edition of ICD-10-CM Q36. Some consider the term spina bifida occulta. I’ve noticed my baby has a Y shaped cleft on her bottom. The crooked gluteal fold seems to be caused by more fat on one side than the other. a Ventral view showing two heads, with anencephaly in the left twin, a shared thorax with a single umbilical cord, and two normal upper and lower extremities. gluteal crease anatomy. E. Congenital dermal sinuses represent cutaneous depressions or tracts that are lined by stratified squamous epithelium. Gluteal cleft shield is a cover which is used to avoid problems related to gluteal cleft. C. 3 March 2011 111 Each referred participant was risk stratified based on specific physical exam findings. Best answers. , navel, intergluteal crease, penis, lips, and web spaces. GameStop Moderna Pfizer Johnson & Johnson AstraZeneca Walgreens Best Buy Novavax SpaceX Tesla. 5 - other international versions of ICD-10 Q92. A lump of the lower back. NO BIGGIE, unless it's really deep, which you didn't mention. 04%). Fig. Applicable To. #asymmetricskinfolds #anatomynote #glutealskinfolds #skinfolds #shorts #youtubeshorts☠️ DONT CLICK THIS: support our Odysee chan. 6 - Congenital sacral dimple. 8. Typically, pilonidal cysts occur after puberty. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). 00 [convert to ICD-9-CM] Gluteal tendinitis, unspecified hip. It’s usually just above the crease between the buttocks. 6% (in Turkey). 1 Global variations in incidence have been reported, ranging from 0. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Lesions at these sites may lose their classic morphology, presenting instead as erythematous lesions with poorly defined borders and lichenification (Wagner et al. 위 사진처럼 엉덩이 틈새가 방향이 틀어져 (deviated). Risk factors for this disease include obesity, prolonged sitting, and abundance of gluteal hair. A neonate Caucasian girl, a product of an uncomplicated pregnancy, was found to have asymmetric gluteal crease. 1, 7, 8 Radiographic evaluations in infants under 4 months of age are also reported to be unreliable. 딤플보다 엉덩이 틈새 (gluteal cleft) 기형 은 경증 OSD와 연관성이 있어 꼭 추가적인 검사 를 해야해요. 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. Includes. Minimize friction—dry the skin by patting, not rubbing, keeping in mind that friction is one of the causes. 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. In addition, in a study by Lode HM et al. 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. 1 Global variations in incidence have been reported, ranging from 0. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. little man has a duplicated gluteal cleft. 9 - other international versions of ICD-10 Q37. Duplicated Gluteal cleft. Findings present in 11% of healthy newborns are unlikely to be useful markers for a rare condition like OSD (estimated incidence 0. Duplicated gluteal cleft Adapted from Pediatrics in Review. This is the American ICD-10-CM version of Q84. 24. This could be a sign of a spinal cord tether, spinabifida etc. It is decorated from the upper side with rhinestones and colorful studs. A bifid uvula may be an isolated finding or it may be related to submucous cleft palate. The 2024 edition of ICD-10-CM P13. 0 - other international versions of ICD-10 Q36. @lblake907, in some cases it’s a sacral dimple and can be a sign of spina bifida occulta, but if the spine is closed then it can be (in very rare occurrences) a sign of a tethered cord. ICD-10-CM Coding Rules. 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. 5 cm above the anus) and solitary. 8% of the subjects. shfkekhre. Fourteen (21%) of the 67 patients had an abnormal spinal ultrasound; 5 of. The overall frequency of each physical. The vast majority of babies diagnosed with a laryngeal cleft are born with this condition. ”. During colonoscopy, evidence of. 1 - other international versions of ICD-10 P92. 2-7. This persisted at 6-month follow up imaging. 730 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 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. Figure 4. 8 became effective on. g. Results. ~2-4% of all newborns have a sacral dimple. Article. The most common cutaneous manifestations were duplicated or bifurcated (46%) gluteal folds and gluteal asymmetry (16%). The 2024 edition of ICD-10-CM Q82. E. 1 became effective on October 1, 2023. 6% had dimples, and 24. This is the American ICD-10-CM version of M26. [2–4] These syndromes are all associated with median lip and/or mandibular clefts and digital variations. Distal portions of all three major structures enter what is known as the femoral triangle, found within the anterior proximal portion of the femoral region. Therefore, a deviated or duplicated (“split”) gluteal cleft (Fig. The only significant finding in that area would be a sacral dimple that is deep and that might need investigating for a condition known as spina bifida occulta. generally speaking, scoliosis can cause asymmetry of back and buttocks. basically, the top of his bum crack makes a y shape…Had our first well check today and scheduled an ultrasound. Ems0. A cleft palate happens if the tissue that makes up the roof of the mouth does not join together completely during pregnancy. OSD. Asymmetric forked gluteal cleft is a condition in which the two sides of the buttocks form a V-shape, rather than a U-shape. Our content is doctor approved and evidence based, and our community is moderated, lively, and welcoming. Fig. Expand all. 39. A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. Spinal sonography showed a polycyclic echo-free mass mea- suring 29 18 mm (l " Fig. This is not noticed when your child has on clothing. Pediatric ENT and Head and Neck Surgery 42 years experience. 14, 15 Therefore, the authors believe that excluding the infants aged <4 months would contribute to more reliability and consistency. Yes my son has that. In light of the nonresolving extra-axial mass and thick taut lipomatous. This is the American ICD-10-CM version of Q92. The vertical line starts from sacrum to the perineum. 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. little man has a duplicated gluteal cleft. Bandaging over the area to prevent scratching through the night. 3 March 2011 111 The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). I noticed that my LO’s buttcrack slightly curves at the top. [1]. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Bust get. 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. nervous system sacral dimples Pediatrics in Review Vol. Ultrasonography (US) of the spinal cord is performed in newborns with signs of spinal disease (cutaneous lesions of the back, deformities of the spinal column, neurologic disturbances, suspected spinal cord injury due to traumatic birth, and syndromes with associated spinal cord compression). We found deviated or duplicated gluteal creases. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. She took some pictures and sent them to a neurosurgeon who said we. There are many approaches to examining a newborn, many of which are acceptable. The code is exempt from present on admission (POA) reporting for. from publication: Spinal Sonography in Infants with Cutaneous birth Markers in the Lumbo-Sacral Region – an Important Sign of Occult Spinal Dysrhaphism and Tethered. 4%, which is normal, will expect to be at birth weight at 2 weeks. A deviated or duplicated gluteal cleft should raise concern for OSD, whether or not a dimple is present. Sacral Dimple. 32 No. A sacral dimple is a small, usually shallow indentation in the small of the back, just above or within the crease of the buttocks. 5 cm above the anus) and solitary. Duplicated gluteal fold: CM ends at L2-3: N/A: No clinical TCS: Male/3. Subcutaneous lipomas. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. 7% had lumbosacral and/or coccygeal hairiness. Almost always, if the dimple is within the gluteal crease, there is no underlying spinal abnormality and no investigation is necessary. The crease is nearly always present and usually not perfectly symmetrical. As the body grows, however, the spinal cord then becomes stretched and damaged by the abdominal attachment. swelling in the area. The STL. Oct 16, 2008 #2 you're joking right? ? M. 32 No. a birthmark in the area. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The hip joint is the most stable joint in the body and is supported by a very strong capsule and several. Within 90 days. Pediatric ENT and Head and Neck Surgery 42 years experience. A Caucasian female neonate with abnormal gluteal cleft had ventriculus terminalis cyst with an extra-axial cyst at the conus–filar junction and taut lipomatous filum on ultrasound examination and magnetic resonance imaging. The gluteal cleft shield is directly applied on the skin and fixes itself above the waistband. Fetal macrosomia, one of most important fetal growth disorders, is defined as “a weight at birth higher than the 90 th. Background Pilonidal disease classically presents as an abscess or soft tissue swelling which classically occurs in the intergluteal cleft, just above the anus. Pressure injuries, however, are ischemic injuries to the skin and underlying soft tissue that can result in full-thickness tissue damage. The urethra is absent: A fibrous cord into the anterior wall of the rectum:. Birth weight is down by 5. little man has a duplicated gluteal cleft. Remove femur after distal mobilization and disarticulate hip posteriorly through the decubitus ulcer. 딤플보다 엉덩이 틈새 (gluteal cleft) 기형 은 경증 OSD와 연관성이 있어 꼭 추가적인 검사 를 해야해요. Q35. 96. Duplicated Gluteal Cleft a Aju1985 Posted 06-05-18 Had our first well check today and scheduled an ultrasound. A sacral dimple is an indentation or pit in the skin on the lower back that is present at birth in some babies. 6 Therefore, we could consider these patients low risk for having OSD. tenderness. If the base could not be seen, this would be called a coccygeal pit. 1 may differ. Bilious vomiting can indicate bowel obstruction, with the greatest concern being malrotation/volvulus Assess for distension. 18 Although it has long been recognized that midline uncomplicated dimples located within the gluteal crease (so-called coccygeal pits) are unlikely to be associated with a tethering lesion, Gomi. Then, the surgical wound is closed by rotating other tissue to cover the area. Q35. The 2024 edition of ICD-10-CM P92. 위 사진처럼 엉덩이 틈새가 방향이 틀어져 (deviated). 29: Hypospadias: Gluteal asymmetry: CM ends at L2-3: N/A: No clinical TCS: Female/10. Fig. It is designed by a fashion designer named Kimberly brewer. Open neural tube defects are lesions in which brain, spinal. They did an ultrasound of his booty & spine when he was like a week old. Single, deviated gluteal crease with dimple. 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. Open – kinda obvious (cuz they are open!) Spinal DSTs occur with a frequency of ∼1 in 2500 live births. A cross-sectional assessment of cutaneous lumbosacral and coccygeal physical examination findings in a. split; divided; a crack or crevice; an indentation between two parts, as of the chin Not to be confused with: clef –. 6 may differ. nervous system sacral dimples Pediatrics in Review Vol. Five hundred twenty-two patients with a mean age of 6. D ISCUSSION. Gluteal cleft synonyms, Gluteal cleft pronunciation, Gluteal cleft translation, English dictionary definition of Gluteal cleft. 6 - other international versions of ICD-10 Q82. Physical examination revealed a healthy appearing female with well-demarcated scaly pink plaques located in the gluteal cleft. Q82. . Here are some of the things I have tried myself at different times as decided by myself and my girlfriend: Sudocrem every night. 5cm from anal verge, multiple dimples, Skin lesions and Associations (duplicate gluteal cleft, asymmetrical intergluteal crease, skin tag, tail like appendages, hairy tuft, pigmentation, fatty lump, vascular lesions, atretic meningocele, dermal sinus. Motor/sensory grossly normal. They believe everything is okay after her Neurodevelopmental eval but we monitor her for any changes in behavior as she gets older. 4). The hub of the catheter was secured in the , and the patient's features of sepsis improved over. A sacral dimple can be a sign of a serious spinal problem in a newborn if the dimple is large or appears near a tuft. 6 became effective on October 1, 2023. Fully searchable through Find-A-Code's Comprehensive Search. 9 may differ. 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. ICD 9 Code: 685. Cleft of earlobe (left), earlobe duplication (middle), and skin tag on the back of the earlobe (right). duplicated gluteal cleft, or hemangioma (3%), a simple dimple in. Figure 4. Duplicated gluteal crease. The 2024 edition of ICD-10-CM Q37. 8%) showed a combination of 2 markers (single dimples in common, deviated or duplicated gluteal furrows in 22, cutaneous masses in. The universal screening picked up a type IIa DDH in 44. Non-duplicate identified articles were independently reviewed by two authors (J. Adapted from Pediatrics in Review. The 2024 edition of ICD-10-CM Z87. Sacral dimples are relatively common, occurring in 2-4% of newborn infants. 02) and (2) deviated gluteal crease (P = . 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 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.