Patient presents with a sacral dimple, also known as a pilonidal dimple, observed in the sacral region.  Examination reveals a small, midline indentation or pit located in the gluteal cleft, superior to the anus.  The skin overlying the dimple appears normal without signs of erythema, drainage, swelling, or tenderness.  No palpable mass or sinus tract is noted.  Neurological examination, including lower extremity motor strength, sensation, and reflexes, is normal.  The dimple is assessed for associated findings, such as hairy patches, skin tags, or hemangiomas, which are not present.  Given the typical presentation and absence of concerning features, this sacral dimple is classified as simple and benign.  Differential diagnoses considered include pilonidal cyst, spinal dysraphism, and tethered cord syndrome.  However, the lack of associated cutaneous stigmata, neurological deficits, and other abnormal findings makes these less likely.  No further imaging or diagnostic testing is indicated at this time.  Patient and family educated on the benign nature of a simple sacral dimple and advised to monitor for any changes, such as redness, swelling, or drainage.  Return visit recommended if any concerning signs or symptoms develop.  Diagnosis: Sacral dimple, simple.  ICD-10 code: Q82.4.  CPT code for evaluation and management (E/M) will be determined based on the complexity of the visit.