A cleft lip and cleft palate are openings in a baby's upper lip or roof of the mouth (palate). Applicable To. Y Gluteal Cleft Baby. Ask parent/carer how the baby is feeding and if there has been any vomiting, and if so, what colour. Healed incisions lie within gluteal cleft and crease and groin creases. 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. Immediately after birth, the nurse is caring for a newborn with a myelomeningocele. Pilonidal literally means a “nest of hair. The gluteal region comprises of superficial and deep muscle groups. Although fistulas above the gluteal cleft may be. ” It affects an estimated 26 per 100,000 persons, 1 occurring primarily in young adults with a 3:1 male predilection. The vertical line starts from sacrum to the perineum. Messages 2,335 Location We would like to show you a description here but the site won’t allow us. Figure 1. A recent meta-analysis of 6,143 studies by Stauffer et al. These sinuses are thought to result from abnormal separation of the cutaneous and. Congenital hip dislocation and bilateral club feet in an infant with Poland's anomaly. 1 The underlying cause of pilonidal disease is. 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. Results: The most common LsCMs were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). 1 Atypical Sacral Dimple: Not in midline, not in sacrococcygeal region, >5 mm deep, >2. Gluteal region by ritika. Had our first well check today and scheduled an ultrasound. 6%, and flat vascular macules in 1. Cleft palate, unspecified. 34 - other international versions of ICD-10 M26. Hair can then enter the abscess cavity and provoke a foreign body tissue reaction. Pilonidal disease is a clinical diagnosis based on history, physical exam (including anorectal exam), and evaluation of symptoms and risk factors. 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. Single Codes *Texas uses this code for any cleft. 821A is grouped within Diagnostic Related Group(s) (MS-DRG v 41. 7% had lumbosacral and/or coccygeal hairiness. 6 became effective on October 1, 2023. 95. cutaneous manifestations were duplicated or bifurcated (46%) gluteal folds and gluteal asymmetry (16%). 14 Q36. , 2013. 5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 8. 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. basically, the top of his bum crack. 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. hemangioma, telangiectasia The 2024 edition of ICD-10-CM P01. Expand all. The right gluteal crease is lower than the left. 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. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). 5 may differ. Pilonidal cysts can range from abscesses — painful collections of pus — to sinuses, and lead to persistent bloody drainage. M26. 중복 엉덩이 틈새 (duplicated gluteal cleft)로 OSD와 연관되어 있어요. The literature reports median tongue clefts only to be associated with orofacial digital syndromes type I, II, IV and VI. Includes. Whe the skin lateral to the dimple is stretched, skin can be seen covering the entire dimpled area. Anusol suppositories. Low-risk findings included “simple dimple,” defined as a soft tissue depression appearing up to 2. Synonyms: aberrant forearm flexor muscle, aberrant. A cross-sectional assessment of cutaneous lumbosacral and coccygeal physical examination findings in a. 딤플보다 엉덩이 틈새 (gluteal cleft) 기형 은 경증 OSD와 연관성이 있어 꼭 추가적인 검사 를 해야해요. 4. Gluteal cleft shield is a cover which is used to avoid problems related to gluteal cleft. 6 E. This is the American ICD-10-CM version of P83 - other international versions of ICD-10 P83 may differ. Some asian groups have as high as 1 in 250 births with cleft, caucasians about. 7% had lumbosacral and/or coccygeal hairiness. 1 may differ. They may be associated with a tuft of hair. 9 became effective on October 1, 2023. 1, 7, 8 Radiographic evaluations in infants under 4 months of age are also reported to be unreliable. Flashcards. split; divided; a crack or crevice; an indentation between two parts, as of the chin Not to be confused with: clef –. Access records and results, view and pay bills, request prescription renewals, and request appointments. Hi mamas. Pilonidal sinuses are characterized by natal cleft suppuration and are thought to initially result from a hair follicle infection. E. Pain or tingling the legs or back; Curvature of the spine Q82. Posted 06-05-18. Ems0. , four cases of asymmetrical gluteal fold, two cases of dermal sinus, one case of hairy tuft, one. The code is exempt from present on admission (POA) reporting for. I never thought to bring it up to the doctor until recently when my mom said it’s not normal. The patient’s. This area is the groove between the buttocks that. The gluteal region, commonly known as the buttocks or glutes, is the posterior part of the pelvic area. 02). A duplicated gluteal cleft associated with occult spinal dysraphism. Jan 14, 2019 at 9:16 PM. Background. 2 may differ. Figure 3. 32 No. Prevention. Cleft lip, bilateral. In the pressure ulcer, the most important etiologic factor is pressure. Results: Majority (80%) of infants had normal spinal US -Of the 20% of infants with abnormal spinal US that underwent spinal MRI only. Case reports of median tongue clefts in the literature show mostly a combination with a cleft of the median lower. 34 may differ. 2%. The gluteal cleft is an anatomical characteristic found in both males and females. 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. Neurological examination was normal, and subsequent urodynamics study was also normal. The MyChart Patient Portal is an online tool that provides medical information about care provided at Johns Hopkins All Children’s and connects you to your health care team. 7 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Body habitus may contribute to additional intertriginous sites, such as inframammary skin and. Fig. 04%). A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. g. This can cause problems starting around age 2-3 (potty training age) is when parents start to see some signs. No other skin changes are seen. For other babies, only part of the palate is open. 14, 15 Therefore, the authors believe that excluding the infants aged <4 months would contribute to more reliability and consistency. 6 - other international versions of ICD-10 Q82. Linear lesions in the intergluteal cleft are caused by moisture with or without a friction component and should be classified as intertriginous (between skin folds) dermatitis (inflammation of the skin). It extends from sacral level S3 or S4 and ends just inferior to the apex of the sacrum, at the level of the anus. Clinical pearl: Gluteal cleft anomalies (e. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). g. k. 34 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ICD-10-CM Diagnosis Code R19. e. 3 March 2011 111 The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). This is the American ICD-10-CM version of P92. Some consider the term spina bifida occulta. Other names. 5 - other international versions of ICD-10 P01. Fourteen (21%) of the 67 patients had an abnormal spinal ultrasound; 5 of. 1). This is the American ICD-10-CM version of Q35. A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. 02 [convert to ICD-9-CM] Gluteal tendinitis, left hip. Similar. The hub of the catheter was secured in the , and the patient's features of sepsis improved over. Expert solutions. 1, 7, 8 Radiographic evaluations in infants under 4 months of age are also reported to be unreliable. Cleft lip in the presented case - newborn of 4 days old. 9% were worse. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Photographs of commonly noted lumbosacral cutaneous physical examination findings. b Lateral overview showing oblique positioning of the heads. It is a visible border separating ass into two parts. ANSWER: SACRAL DIMPLE. The 2024 edition of ICD-10-CM Z87. Mild distension is normal in the first 24 h, as long as the abdomen is soft, the baby hasThe gluteal cleft was asymmetrical. The 2024 edition of ICD-10-CM Q63. rubrum and presents as an asymmetrical erythematous patch with a scaly, annular border in the groin. Messages 2,335 Location ENGLEWOOD/DENVER Best answers 0. Duplicated Gluteal cleft. 7%, slate-grey patches in 44. P. Duplicated gluteal fold: CM ends at L2-3: N/A: No clinical TCS: Male/3. 1,2 This is of importance because on rare occasions, sacral dimples. Apr 24, 2016 at 7:40 PM. Background Pilonidal disease classically presents as an abscess or soft tissue swelling which classically occurs in the intergluteal cleft, just above the anus. 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. (B) Sever all knee ligaments. 8 - other international versions of ICD-10 Q63. Risk factors for this disease include obesity, prolonged sitting, and abundance of gluteal hair. 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. For some babies, both the front and back parts of the palate are open. In this situation, differentiation between a septate uterus or a bicornuate uterus is critical. A duplicated gluteal cleft associated with occult spinal dysraphism. The remainder of the exam was essentially normal. A cross-sectional assessment of cutaneous lumbosacral and coccygeal physical examination findings in a. 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. 2 months at imaging were included in the study. Gluteal tendinitis; Gluteal tendonitis. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. Sign up. 6 Therefore, we could consider these patients low risk for having OSD. It is designed by a fashion designer named Kimberly brewer. 1 may differ. The first is due to the buttocks getting the least. ”. basically, the top of his bum crack makes a y shape…newborns at least 35 weeks or greater gestational age under the authors’ care. A thorough physical examination of a newborn should be done within 24 hours of birth. Perianal tinea is uncommon. 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. Samir Shureih MD. Code. 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. 110 749. Results. The condition, which has an annual. This gap allows food, liquid, and saliva to pass through the larynx into the lungs. Birth weight is down by 5. Venus dimples are two dimples that appear on the lower back, just above the gluteal cleft. 9 may differ. Remove femur after distal mobilization and disarticulate hip posteriorly through the decubitus ulcer. I'm on this particular Dx right now with a progress note - "Pain in Right Gluteal Region". 8 became effective on October 1, 2023. The universal screening picked up a type IIa DDH in 44. Study with Quizlet and memorize flashcards containing terms like True or False: a cleft lip occurs when there is a flare of primary and secondary palates to fuse fetal development, True or False: Spina bifida myelomengingocele occurs when there is a protrusion of the spinal cord and meninges, and is the most DIFFICULT spina bifida to treat, Prevent. 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. Non-duplicate identified articles were independently reviewed by two authors (J. A total of 34 (24%) patients had an abnormal spinal ultrasound; 15 (44%) of these infants underwent a lumbar magnetic resonance imaging. Our study found that cutaneous lumbosacral findings are more common in well newborns than previously reported. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Has anyone had any expierence with this ?Answer: Gluteal cleft. 6% had dimples, and 24. The most common MSS lesions were “simple dimple” (125 infants), defined as a soft tissue depression ≤25 mm above the anus (regardless of size or depth), and deviated gluteal fold (DGF; 53 infants), defined as any abnormal gluteal fold (including bifid or split gluteal cleft) without an underlying mass. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). Figure 4. generally speaking, scoliosis can cause asymmetry of back and buttocks. 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. 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. Physical examination revealed a healthy appearing female with well-demarcated scaly pink plaques located in the gluteal cleft. 8 is a billable diagnosis code used to specify other congenital malformations of musculoskeletal system. A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. A coccygeal pit was. Learn. g. 8%. Of 1096 infants included in the study, 24. 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. Spinal sonography showed a polycyclic echo-free mass mea- suring 29 18 mm (l " Fig. Q82. 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. Now I’m freaking myself out because everything you see on google says tethered spinal cord. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. basically, the top of his bum crack makes a y. On follow-up 1 month later, a relatively good cosmetic outcome was noted, with a mild standing cone in the upper gluteal cleft. 5 should be used on the newborn record - not on the maternal record. 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. Subcutaneous lipomas. 6 - Congenital sacral dimple. He presented with a verrucous wart-like midline mass on the superior gluteal cleft that had grown since his last resection. The 2024 edition of ICD-10-CM Q82. 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. They have no associated abnormalities (hairs, skin markings, etc. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The bottom of the dimple may not be visible, and sometimes the dimple is accompanied by changes in skin. Myalgia is pain in muscles, and since your Dr. It occurs as a dermal indentation, found along the midline of the neuraxis and often presents alongside infection and neurological deficit. 8 may differ. DX? dmaec True Blue. Urinary and bowel dysfunction are nearly universal. F. Leopold, MD ; Edward S. Messages 1,130 Location Hibbing, MN Best answers 0. The 2024 edition of ICD-10-CM Q63. Is composed mainly of collagen fibres, it is strong enough to support the sacrum. little man has a duplicated gluteal cleft. Had our first well check today and a scheduled ultrasound. - "A Cross-Sectional Assessment of Cutaneous Lumbosacral. Of 1096 infants included in the study, 24. and E. All newborns undergo an examination of the. Usually occur in combination of other masses, e. Home. Bilateral gluteal tendinitis; Gluteal tendinitis of left hip; Left gluteal tendinitis; Tendinitis of bilateral gluteal tendons. Youssef, MD ; Seth W. In light of the nonresolving extra-axial mass and thick taut lipomatous. A bifid uvula may be an isolated finding or it may be related to submucous cleft palate. Q82. 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. 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. Objective. com. Some authors tried to propose a higher threshold score based on the five-point scoring system, however, it did not increase sensitivity or specificity in the diagnosis of DST. The gluteal cleft and the gluteal fold both occur normally in humans. a birthmark in the area. Motor function is generally more affected than sensory function and is correlated with the level of spinal aplasia. 1. Feb 4, 2023 at 3:55 PM. ) (gestational age 40 weeks, birth weight 3460 g, length 54 cm) The female patient was transferred for spinal sonography at the age of 5 days due to an asymmetrical gluteal crease. It causes a deformity of the lip, nose and upper jaw. Dimples that may require further investigation are those that are large. For patients with certain risk factors and a normal examination the Guidelines of the American Academy of Pediatrics state, “…imaging with an. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Cleft lift procedure overview. 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]. I almost thought they just made that up!The presence of phosphatidylglycerol indicates lung maturity. Pressure injuries, however, are ischemic injuries to the skin and underlying soft tissue that can result in full-thickness tissue damage. The right gluteal crease is lower than the left. 5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. With thousands of award-winning articles and community groups, you can track your pregnancy. non-midline lesion, forked gluteal cleft, coccygeal pit. The vast majority of babies diagnosed with a laryngeal cleft are born with this condition. Whe the skin lateral to the dimple is stretched, skin can be seen covering the entire dimpled area. The key factors in performing this procedure are to flatten the entire gluteal cleft, remove all active pilonidal disease, and position. He seems completely healthy otherwise. 5 may differ. They're congenital abnormalities ( birth defects) that form while a fetus develops in the uterus. Applicable To. 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. 110 749. 8%) showed a combination of 2 markers (single dimples in common, deviated or duplicated gluteal furrows in 22, cutaneous masses in. A person with a pilonidal cyst may experience swelling, pain, and skin discoloration in the affected. Moisturiser every night. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. Routine screening tests to detect problems that cannot be seen during the physical. The code is exempt from present on admission (POA) reporting for. About 1:1000 babies: It depends on the ethnic group, the family and pregnancy history, etc. little man has a duplicated gluteal cleft. Had our first well check today and scheduled an ultrasound. 8% had deviated or duplicated gluteal creases, 15. kdmahnke13. Free returns. . Due to unclear efficacy of topical or systemic antibiotics, ASCRS recommends these agents as adjunct treatment for patients with significant cellulitis, immunosuppression or. Typically, pilonidal cysts occur after puberty. 71: Circumcision: Duplicated gluteal fold, coccygeal pit: CM ends at L2-3: N/A: N/A -5% duplicated gluteal cleft . John Bascom in Eugene, Oregon, developed a variation of the operation called the “Cleft Lift. basically, the top of his bum crack makes a y shape…Of 1096 infants included in the study, 24. my full-term newborn boy has an asymmetric 'y' shaped crease at the top of his intergluteal cleft. 8% had deviated or duplicated gluteal creases, 15. 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. 8% had deviated or duplicated gluteal creases, 15. Q37. The cystic mass extended into a dilation of the central canal due to. The 2024 edition of ICD-10-CM Q36. This could be a sign of a spinal cord tether, spinabifida etc. 155 Other ear, nose, mouth and throat diagnoses with cc. Two pilonidal cysts that have formed in the gluteal cleft of an adult man. The cause of congenital earlobe deformities is unknown. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Cranial nerves grossly intact. Tinea cruris is usually due to T. Applicable To. Figure 2. 1%) had normalized, 16% were confirmed as type IIa, and 0. 8. To assess the clinical and economic consequences of different diagnostic strategies in newborns with suspected occult spinal dysraphism. little man has a duplicated gluteal cleft. This is the American ICD-10-CM version of P13. little man has a duplicated gluteal cleft. If the base could not be seen, this would be called a coccygeal pit. My oldest has a “duplicated gluteal cleft” which is also a marker for spina bifida. 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. 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. A sacral dimple can be a sign of a serious spinal problem in a newborn if the dimple is large or appears. 3 March 2011 111. 8. It is estimated that 2% to 4% of all newborns will have a sacral dimple. 6% had dimples, and 24. Similar. A duplicated gluteal cleft associated with occult spinal dysraphism. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. A total of 34 (24%) patients had an abnormal spinal ultrasound; 15 (44%) of these infants underwent a lumbar magnetic resonance imaging. The two major types of spinal dysraphism are based on the appearance, i. Each referred participant was risk stratified based on specific physical exam findings. 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. The horizontal pattern of bruising also corresponds to areas of shear strain of. Intertrigo is inflammation of skinfolds caused by skin-on-skin friction. 6% (in Turkey). Congenital dermal sinus is an uncommon form of cranial or spinal dysraphism. 21 A skin dimple is present on the flat portion of the sacrum well above the upper end of the gluteal cleft. 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. It is designed by a fashion designer named Kimberly brewer. 2 is grouped within Diagnostic Related Group (s) (MS-DRG v41. Figure 4. (1) (2) These defects, which result from abnormal fusion of the neural tube during embryonic development, are placed into two broad categories: open and closed. There are many approaches to examining a newborn, many of which are acceptable. Bodily secretions. They are a rare type of ear deformities. 2-7. 2-7. A total of 211 (84. 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. Read More. Bilateral gluteal tendinitis; Gluteal tendinitis of right hip; Right gluteal tendinitis; Tendinitis of bilateral. 6% had dimples, and 24. Intertrigo may present as diaper. basically, the top of his bum crack makes a y shape when. Most sacral dimples are harmless and don’t need treatment. 8 - other international versions of ICD-10 Q82. This type of back dimple is directly superficial to the two sacroiliac joints, where the sacrum attaches to the ilium of the pelvis. 7% had lumbosacral and/or coccygeal hairiness. May 6, 2021 at 5:44 AM. Now I’m freaking myself out because everything you see on google says tethered spinal cord. FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. Code. Good. 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. 29: Hypospadias: Gluteal asymmetry: CM ends at L2-3: N/A: No clinical TCS: Female/10. This is the American ICD-10-CM version of P01. There was a notable lack of consensus on the appropriate management of certain gluteal cleft deviations and cutaneous vascular marks.