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. My oldest has a “duplicated gluteal cleft” which is also a marker for spina bifida. Is in the shape of a fan located in the posterior pelvis, on both sides and connects the sacrum to the iliac tuberosities. 0 - other international versions of ICD-10 Q36. 2,4–6 Variations between practicing clinicians with respect to the management of. My oldest has a “duplicated gluteal cleft” which is also a marker for spina bifida. Spina Bifida Occulta (Occult Spinal Dysraphism) Spina bifida occulta is a common anomaly consisting of a midline defect of the vertebral bodies without protrusion. little man has a 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. Off-midline closure procedures such as the Karydakis flap and the Bascom cleft lift , which remove the pilonidal disease, flatten the gluteal cleft, and bring the incision off the midline. In 2 cases, there were differences in respondents' choice to image or consult a subspecialist depending on their percent clinical full time equivalent spent taking care of neonates <1 month of age: (1) coccygeal hair (P = . Expand all. MeSH Code: D010864. Morbidity and. Mark: Sounds as though you may have developed a fissure, or something like it. This is the American ICD-10-CM version of P83 - other international versions of ICD-10 P83 may differ. Had our first well check today and scheduled an ultrasound. Based on your photo, it looks like it could be improved with surgery. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Germolene. The two major types of spinal dysraphism are based on the appearance, i. ICD-10-CM Coding Rules. A cross-sectional assessment of cutaneous lumbosacral and coccygeal physical examination findings in a. The gluteal cleft is an anatomical characteristic found in both males and females. The key factors in performing this procedure are to flatten the entire gluteal cleft, remove all active pilonidal disease, and position. A duplicated gluteal cleft associated with occult spinal dysraphism. • Subcutaneous mass or lipoma (sometimes seen as deviation of gluteal fold) • Hairy patch • Dermal sinus ( Sinuses opening onto skin surface, located above gluteal cleft and have a cephalically oriented tract) • Atypical Dimples : o Deep (>5mm) o >2. It is a common skin condition affecting opposing cutaneous or muco-cutaneous surfaces. The patient has an unusual sacral crease and sacral dimple. 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. From icd10data. Change diapers promptly after voiding or soiling. A person with a pilonidal cyst may experience swelling, pain, and skin discoloration in the affected. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Sacral dimple newborn – a prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. Some asian groups have as high as 1 in 250 births with cleft, caucasians about. As the tittle says I am currently waiting on a back scan for my little man hes 14 weeks old hes got a y shaped gluteal cleft, it feels dead boney where this is. We found deviated or duplicated gluteal creases in 24. APR with en bloc resection of the posterior wall of the vagina. In this case, which was the first one on whom we attempted the technique, we had designed the inferior flap as a medially based flap. 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. It is decorated from the upper side with rhinestones and colorful studs. Two pilonidal cysts that have formed in the gluteal cleft of an adult man. 6 is a billable diagnosis code used to specify a medical diagnosis of congenital sacral dimple. 2 deletion. So, Ortolani-Barlow – not a great test for picking up DDH – in that a normal test doesn’t rule. 5 may differ. Has anyone had any expierence with this ?Answer: Gluteal cleft. 438 Clarendon Street, South Melbourne, VIC 3205. P01. These sinuses are thought to result from abnormal separation of the cutaneous and. basically, the top of his bum crack. Congenital branchial cleft anomaly. 21 The dimple has an underlying tract of epithelial and fibrous tissue that pierces the underlying fascia and posterior vertebral elements, pierces the dura, and tracks. Erythematous plaques in axillae - a report of two cases In its general usage, the term pilonidal cyst refers to an area located at the superior aspect of the gluteal cleft in the sacrococcygeal area as. A total of 34 (24%) patients had an abnormal spinal ultrasound; 15 (44%) of these infants underwent a lumbar magnetic resonance imaging. D. My newborn is 3. Babies with congenital hip dislocation can also have asymmetrical gluteal folds. The 2024 edition of ICD-10-CM P54. 2 months at imaging were included in the study. 32 No. Then, the surgical wound is closed by rotating other tissue to cover the area. Applicable To. 13 Q36. This is the American ICD-10-CM version of Q63. Business, Economics, and Finance. Of 1096 infants included in the study, 24. vaginal cyst. D ISCUSSION. Had our first well check today and scheduled an ultrasound. nervous system sacral dimples Pediatrics in. Sacral dimples are very common—they’re present in 2-4% of newborns overall! Almost all neurosurgical referrals for suspected OSD in children <1yo are for evaluation of a dimple. s. Figure 4. 419 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 1 The codes do not provide for coding right/left laterality. Ask parent/carer how the baby is feeding and if there has been any vomiting, and if so, what colour. A dorsal view of die same infant shows the asymmetric gluteal folds and odier skin folds. A neonate Caucasian girl, a product of an uncomplicated pregnancy, was found to have asymmetric gluteal crease. Healed incisions lie within gluteal cleft and crease and groin creases. 5 cm above the anus) and solitary. This causes a number of eating and breathing problems. CONCLUSION. Open the PDF for in another window. Neurological examination was normal, and subsequent urodynamics study was also normal. Should we be worried? Results: The most common LsCMs were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). Q84. 9 became effective on October 1, 2023. This is the American ICD-10-CM version of Q35. Prevention. little man has a duplicated gluteal cleft. 2 - other international versions of ICD-10 Q84. 04%). 1 may differ. Pilonidal disease is a clinical diagnosis based on history, physical exam (including anorectal exam), and evaluation of symptoms and risk factors. 딤플보다 엉덩이 틈새 (gluteal cleft) 기형 은 경증 OSD와 연관성이 있어 꼭 추가적인 검사 를 해야해요. Anusol suppositories. Five hundred twenty-two patients with a mean age of 6. Applicable To. 4 Patient operative positioning. The patient’s. 0. 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. teal cleft anomalies other than dimples also have a weak association with milder forms of OSD and warrant fur-ther evaluation. Decision to use ultrasound vs MRI as first-line imaging is somewhat institution dependent G. 9 may differ. There was no perforation in the left gluteal cleft. mbort True Blue. Cleft lift procedure overview. My 1st has a duplicate gluteal cleft and 2 sacral dimples. May 2020; Hospital Pediatrics 10(6)The cutaneous areas along the gluteal cleft and sulcus were likely to be supplied by 3 routes: 1) the internal pudendal artery (IPA), especially its first cutaneous branch; 2) perforators running through the gluteus maximus muscle and arising from the inferior gluteal artery (IGA); and 3) a non-perforator running around and inferior to the. little man has a duplicated gluteal cleft. basically, the top of his bum crack makes a y shape…Had our first well check today and scheduled an ultrasound. There is no skin. It is a visible border separating ass into two parts. On physical examination, well‐demarcated, erythematous, verrucous papules and confluent plaques, measuring 10–30 mm in size, were seen on both sides of the inner gluteal cleft, sparing the anal margin. 6% had dimples, and 24. 8% had deviated or duplicated gluteal creases, 15. Bandaging over the area to prevent scratching through the night. [2–4] These syndromes are all associated with median lip and/or mandibular clefts and digital variations. 7% had lumbosacral and/or coccygeal hairiness. A duplicated gluteal cleft associated with occult spinal dysraphism. Article. 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. nervous system sacral dimples Pediatrics in Review Vol. A pilonidal cyst is a fluid-filled sac under the skin in the lower back, near the crease of the buttocks. Single, deviated gluteal crease with dimple. little man has a duplicated gluteal cleft. Oct 16, 2008 #3 Here, this link may help you. Our content is doctor approved evidence based, and our community is moderated, lively, and welcoming. A bifid uvula, also known as a cleft uvula, is a uvula that is split in two. rare skin condition that has distinct clinical and histologic features. Some asian groups have as high as 1 in 250 births with cleft, caucasians about. The estimated overall incidence of pilonidal disease is 26:100,000. 730 became effective on October 1, 2023. ICD-10-CM Coding Rules. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. a patch of hair by the dimple. 7% had lumbosacral and/or coccygeal hairiness. in the sacrococcygeal area as shown in Figure 1. 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). non-midline lesion, forked gluteal cleft, coccygeal pit. Best answers. 5 should be used on the newborn record - not on the maternal record. A recent meta-analysis of 6,143 studies by Stauffer et al. 01 [convert to ICD-9-CM] Gluteal tendinitis, right hip. 95. skin tags or duplicated gluteal clefts . 5 cm. Of 1096 infants included in the study, 24. 02) and (2) deviated gluteal crease (P = . John Bascom in Eugene, Oregon, developed a variation of the operation called the “Cleft Lift. Fig. 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). tenderness. The horizontal pattern of bruising also corresponds to areas of shear strain of. About 1:1000 babies: It depends on the ethnic group, the family and pregnancy history, etc. In newborns, the diagnosis is very ambiguous due to physiologic instability originating from the inborn laxity. 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. Cleft lip, bilateral. 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. Fig. Methods. Non-duplicate identified articles were independently reviewed by two authors (J. Pathology showed squamous cell carcinoma with tumor-free margins, and further imaging showed no evidence of. 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. little man has a duplicated gluteal cleft. Pathologic entities in the gluteal region reflect the diversity of tissue types present. 7% had lumbosacral and/or coccygeal hairiness. 6% had dimples, and 24. mbort True Blue. Pediatr Rev. Duplicated / Deviated gluteal cleft; Caudal appendage; Other cutaneous findings: Capillary hemangioma / Vascular Nevus; Hypertrichosis (hairy patch). ), and the gluteal cleft is normal. 9 may differ. , hemangiomas. 4. Venus dimples are two dimples that appear on the lower back, just above the gluteal cleft. 0): 154 Other ear, nose, mouth and throat diagnoses with mcc. Keep the skin of the diaper area clean and dry. Low-risk findings included “simple dimple,” defined as a soft tissue depression appearing up to 2. 7 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2011 Mar;32 (3):109-13. All racial/ethnic groups had double to quadruple the risk of lumbosacral hair when compared with Caucasians. This is the American ICD-10-CM version of Q82. 1). Characteristic features include short intergluteal cleft, flattened buttocks, narrow hips, distal leg atrophy, and talipes deformities. The 2024 edition of ICD-10-CM Q82. 6%, and flat vascular macules in 1. basically, the top of his bum crack makes a y shape…15 result found: ICD-10-CM Diagnosis Code M76. Infantile psoriasis is uncommon, and when it occurs it most typically affects the inguinal folds and gluteal cleft. Variation in Management of Cutaneous Lumbosacral Findings in Newborns. Spinal sonography showed a polycyclic echo-free mass mea- suring 29 18 mm (l " Fig. Clinical pearl: Gluteal cleft anomalies (e. Analpram is a steroid, as you said, and with prolonged use thins the skin. 5 - other international versions of ICD-10 Q82. Posted 06-05-18. and E. 7 may differ. little man has a duplicated gluteal cleft. The other synonyms of gluteal cleft are anal. Q63. This is the American ICD-10-CM version of Q36. The newborn with this disorder will have frothing, excessive drooling, and periods of respiratory distress with choking and cyanosis. Duplicated Gluteal Cleft a Aju1985 Posted 06-05-18 Had our first well check today and scheduled an ultrasound. This can then lead to the subsequent formation of a subcutaneous abscess from a persistent folliculitis. states "Butt" that is less specific than "Gluteus Maximus". A presumptive diagnosis was made of psoriasis, and the patient was given Elocon cream (Mometasone. Asymmetric forked gluteal cleft is a condition in which the two sides of the buttocks form a V-shape, rather than a U-shape. 1% (in Germany) to as high as 6. Sacral dimples are relatively common, occurring in 2-4% of newborn infants. 2 is considered exempt from POA reporting. Usually occur in combination of other masses, e. Code. Medical problems commonly associated with 22q11. info@flourishpaediatrics. Q35. A duplicated gluteal cleft associated with occult spinal dysraphism. This can cause problems starting around age 2-3 (potty training age) is when parents start to see some signs. A newborn physical exam routinely includes checking for a sacral dimple while your newborn is still in the hospital. The 2024 edition of ICD-10-CM P83 became effective on October 1, 2023. View all the articles associated with any code, right from the code page! Thank you for choosing Find-A. 1a,b). 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. Case reports of median tongue clefts in the literature show mostly a combination with a cleft of the median lower. ), and relevant articles were selected by mutual agreement. 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. The aim of this article was to summarize results of the consensus sessions that occurred. Tinea. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. 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 mass). Cleft lips and cleft palates happen when tissues of the upper lip and roof of the mouth don't join together properly during fetal development. 96. little man has a duplicated gluteal cleft. Gluteal cleft is the vertical partition which separates buttocks. basically, the top of his bum crack makes a y shape…Of 1096 infants included in the study, 24. The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice. 0 may differ. B. 49. little man has a duplicated gluteal cleft. 8 is a billable diagnosis code used to specify other congenital malformations of musculoskeletal system. 1 became effective on October 1, 2023. 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. May 2020; Hospital Pediatrics 10(6)D ISCUSSION. Upgrade to remove ads. Duplicated Gluteal cleft. With thousands of award-winning articles and community groups, you can track your pregnancy. Specialty: General Surgery. Fig. Sign in to MyChart. Q63. The skin is infiltrated with lidocaine. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. This is caused by an abnormal. Most patients are asymptomatic and lack neurologic signs, and the condition is usually of no consequence. It’s usually just above the crease between the buttocks. 4. 3 March 2011 111. Physical examination findings that prompted a spinal ultrasound included isolated deep sacral dimple (34%); deep sacral dimple in association with other. Includes. Of 1096 infants included in the study, 24. kdmahnke13. F. Gluteal cleft Meaning - YouTube. Y shaped gluteal waiting for scan. Pediatric ENT and Head and Neck Surgery 42 years experience. Combinations of deviated or duplicated gluteal crease + dimple, deviated or duplicated crease + hair, and dimple + hair were common groupings. Background. To assess the clinical and economic consequences of different diagnostic strategies in newborns with suspected occult spinal dysraphism. Adapted from Pediatrics in Review. Intertrigo is inflammation of skinfolds caused by skin-on-skin friction. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. Q18. Feb 4, 2023 at 3:55 PM. 27 This study also evaluated 207 neonates with cutaneous stigmas and found that none of the infants with a simple midline dimple (meeting none of the criteria listed above) had spinal dysraphism. Neural tube defects are among the most common forms of birth defect, affecting 1 in every 1,000 pregnancies. Youssef, MD ; Seth W. Design: Before-and-after trial. 34 may differ. 2-7. The gluteal cleft of the left twin (black arrowhead) and the three lower. Whe the skin lateral to the dimple is stretched, skin can be seen covering the entire dimpled area. nervous system sacral dimples Pediatrics in Review Vol. Q82. 14, 15 Therefore, the authors believe that excluding the infants aged <4 months would contribute to more reliability and consistency. Pediatric ENT and Head and Neck Surgery 42 years experience. This gap allows food, liquid, and saliva to pass through the larynx into the lungs. 2 may differ. P83 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. About 1:1000 babies: It depends on the ethnic group, the family and pregnancy history, etc. For other babies, only part of the palate is open. basically, the top of his bum crack makes a y shape when squished together instead of staying straight. P13. The 2024 edition of ICD-10-CM Q92. A sacral dimple. 2 is grouped within Diagnostic Related Group (s) (MS-DRG v41. This could be a sign of a spinal cord tether, spinabifida etc. Figure 4. A pilonidal cyst is a cyst-like structure that develops in the upper portion of the crease between the buttocks. Bust get. Fetal macrosomia, one of most important fetal growth disorders, is defined as “a weight at birth higher than the 90 th. . Spinal dysraphism encompasses congenital problems that result in an abnormal bony formation of the spine and/or the spinal cord. Had our first well check today and scheduled an ultrasound. 0 Central cleft lip 749. Intertrigo may present as diaper. and E. Karydakis’ work from the 1970s to treat Pilonidal Disease with surgery, Dr. Aju1985. g. Infants with a simple sacral dimple, with evidence of abnormal neurologic or orthopedic exam findings should be further evaluated F. A pilonidal cyst (also called pilonidal cyst disease, intergluteal pilonidal disease or pilonidal sinus) is a skin condition that happens in the crease of the buttocks — anywhere from the tailbone to the anus. 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. By Perrine Juillion / October 25, 2019. Intertriginous skin, also known as skin folds, are sites in which opposing skin surfaces come into contact while at rest, resulting in chronic skin occlusion. 34 - other international versions of ICD-10 M26. 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. 2 became effective on October 1, 2023. Figure 4. Present On Admission. Home. 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. 5 cm above the anus) and solitary. Figure 1. 3 March 2011 111 Each referred participant was risk stratified based on specific physical exam findings. g. Skin. The most common cutaneous manifestations were duplicated or bifurcated (46%) gluteal folds and gluteal asymmetry (16%). 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. Bilious vomiting can indicate bowel obstruction, with the greatest concern being malrotation/volvulus Assess for distension. Duplicate ICD-10-CM Codes. Lesions at these sites may lose their classic morphology, presenting instead as erythematous lesions with poorly defined borders and lichenification (Wagner et al. Gluteal cleft synonyms, Gluteal cleft pronunciation, Gluteal cleft translation, English dictionary definition of Gluteal cleft. 32 No. Q36. 8% had deviated or duplicated gluteal creases, 15. Oct 16, 2008 #2 you're joking right? ? M. 6% had dimples, and 24. The gluteal region comprises of superficial and deep muscle groups. This is the American ICD-10-CM version of P54. A 35-year-old patient is pictured in 2B 6 months after combined bilateral pudendal and gluteal flap pelvic reconstruction. Study with Quizlet and memorize flashcards containing terms like Comprehensive newborn exam must be done within, Tips for newborn exam, Newborn temp: method and normal range and more. 8 is a billable diagnosis code used to specify a medical diagnosis of other congenital malformations of musculoskeletal system. A. Duplicated gluteal cleft Results of a study by Kriss and Desai showed that the incidence of cutaneous stigmas in a healthy neonate population was 4. Read More. @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. Figure 3. The cleft lift procedure was described by Dr. 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. She previously was diagnosed by her periodontist with erosive lichen planus and was prescribed topical and oral steroids with minimal improvement. Pilonidal cysts tend to occur on a person’s lower back, just above the cleft of the buttocks. Duplicated gluteal cleft Results of a study by Kriss and Desai showed that the incidence of cutaneous stigmas in a healthy neonate population was 4. Most sacral dimples are harmless and don't need treatment. ”. 04%). These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. This is the American ICD-10-CM version of Q63. The intergluteal cleft or just gluteal cleft, also known by a number of synonyms, including natal cleft, butt crack, and cluneal cleft, is the groove between the buttocks that runs from just below the sacrum to the perineum, so named because it forms the visible border between the external rounded protrusions of the gluteus maximus muscles. from publication: Spinal Sonography in Infants with Cutaneous birth Markers in the Lumbo-Sacral Region – an Important Sign of Occult Spinal Dysrhaphism and Tethered. As the body grows, however, the spinal cord then becomes stretched and damaged by the abdominal attachment. 5 became effective on October 1, 2023. The cause of congenital earlobe deformities is unknown. P92. Almost always, if the dimple is within the gluteal crease, there is no underlying spinal abnormality and no investigation is necessary. Study sets, textbooks, questions. An infant has just been born with a cleft lip and palate. Dimensions of the proposed intramuscular pocket are designed and the bilateral gluteal cleft incisions are marked. Our content is doctor approved and evidence based, and our community is moderated, lively, and welcoming. 1 may differ. Q35. 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. basically, the top of his bum crack makes a y shape when. All racial/ethnic groups had double to quadruple the risk of lumbosacral hair when compared with. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code Q76. Subjects. The intergluteal cleft or just gluteal cleft, also known by a number of synonyms, including natal cleft, butt crack, and cluneal cleft, is the groove between the buttocks that runs from just below the sacrum to the perineum, [1] so named because it forms the visible border between the external rounded protrusions of the gluteus maximus muscles. 02 [convert to ICD-9-CM] Gluteal tendinitis, left hip. Had our first well check today and scheduled an ultrasound. A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. Spina Bifida Occulta (Occult Spinal Dysraphism) Spina bifida occulta is a common anomaly consisting of a midline defect of the vertebral bodies without protrusion of the spinal cord or meninges. Learn. Gluteal cleft. Asymmetric or malformed Gluteal cleft. When these were followed up with repeat ultrasound at 2 1/2 months the vast majority of these (83. 4. 3 March 2011 111 Duplicated gluteal cleft Results of a study by Kriss and Desai showed that the incidence of cutaneous stigmas in a healthy neonate population was 4. Case reports of median tongue clefts in the literature show mostly a combination with a cleft of the median lower. Congenital dermal sinus form due to a focal failure of dysjunction between the cutaneous ectoderm and. Dimples that may require further investigation are those that are large. Of 1096 infants included in the study, 24. 1. This is the American ICD-10-CM version of Q82. Jan 14, 2019 at 9:16 PM.