Thoracogenic scoliosis, thoracic region. 2016 2017 2018 2019 Billable/Specific Code. M41.34 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM M41.34 became effective on October 1, 2018.
Congenital Scoliosis (code Q76.3): congenital scoliosis is one of the condition’s forms with a known cause, which is a congenital bone malformation, like a hemivertebra, that’s present at birth.
Scoliosis is defined by the end vertebrae used to measure the Cobb angle; a case of scoliosis measured from T5 to T12 would be considered thoracic region, whereas a curve measured from T7 to L3 would be thoracolumbar.
Before we go into the specific codes for scoliosis, let’s first take a look at what goes into classifying the condition, such as time of diagnosis, causation, and curvature location.
Dextroscoliosis is the more common type of scoliosis. The right-sided curvature of the spine can cause the spinal column to appear in the shape of a “C” or an “S” instead of a straight line. It typically affects the middle to upper areas of the back known as the thoracic spine.
So what is thoracogenic scoliosis? According to the Scoliosis Research Society's Revised Glossary of Terms, thoracogenic scoliosis is a “spinal curvature attributable to disease or operative trauma in or on the thoracic cage”.
M41. 86 - Other forms of scoliosis, lumbar region. ICD-10-CM.
M41. 35 - Thoracogenic scoliosis, thoracolumbar region. ICD-10-CM.
Although abnormal curvatures can develop anywhere in a person's spinal column, dextroscoliosis tends to occur in the middle and upper portions of the spine (thoracic spine). Scoliosis can be caused by neuromuscular conditions, connective tissue disorders, and genetic conditions.
Sideways spinal curvature on the left side of the back is more like a regular C shape and called levoscoliosis. Here are four common types of scoliosis curves: Right thoracic curve. If a straight line were drawn down the center of the back, this curve bends to the right side of the upper back (thoracic region).
Scoliosis, unspecifiedM41. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.The 2022 edition of ICD-10-CM M41. 9 became effective on October 1, 2021.This is the American ICD-10-CM version of M41. 9 - other international versions of ICD-10 M41. 9 may differ.
ICD-10-CM Code for Scoliosis, unspecified M41. 9.
ICD-10 code Q76. 3 for Congenital scoliosis due to congenital bony malformation is a medical classification as listed by WHO under the range - Congenital malformations, deformations and chromosomal abnormalities .
Dorsopathy – a group of diseases of the spine and paravertebral tissues. The main causes of this disease is the increased load on the spine, impaired nutrition and blood supply to the vertebrae and tissues, as well as shocks, falls from a height on the spine or legs and other injuries.
Adolescent idiopathic scoliosis probably results from a combination of genetic and environmental factors. Studies suggest that the abnormal spinal curvature may be related to hormonal problems, abnormal bone or muscle growth, nervous system abnormalities, or other factors that have not been identified.
The most common form of adult scoliosis is degenerative (spine curves as you age). Adult scoliosis may be a case of pediatric scoliosis that was undiscovered until adulthood. In some cases, adolescent scoliosis may develop symptoms with aging and require treatment.
As so many cases of scoliosis don’t have known causes, the idiopathic condition codes are most commonly used. Adolescent Idiopathic Scoliosis (code M41.12): as mentioned earlier, scoliosis is most commonly diagnosed between the ages of 10 and 18. This group represents approximately 80 percent of diagnosed cases, ...
Having a common language and system of coding used to define and classify scoliosis helps ensure a certain level of patient care, regardless of where that patient seeks treatment. Initial scoliosis coding and sequencing will depend upon the doctor that first diagnoses and documents the condition.
Classifying a condition like scoliosis is important because it clearly communicates to health-care professionals what type of scoliosis they are dealing with; this is especially important in conditions, like scoliosis, that can take many forms. Before we go into the specific codes for scoliosis, let’s first take a look at what goes ...
These cases are classed as ‘de novo’ because they have developed fresh in adulthood, after skeletal maturity has been reached, with no prior history of having the condition. These types of cases often involve patients who are over 40 and facing degenerative changes to the spine and the discs that cushion the spine’s individual vertebrae.
While scoliosis most commonly develops in the thoracic region, it can develop anywhere along the spine, which is why location is another important classification point.
When a patient’s scoliosis is classified, when their condition was first diagnosed is what the final classification is based on. In other words, if a patient was first diagnosed with scoliosis when they were a teenager, but as the condition was mild, they didn’t seek out active treatment until well into adulthood, the case would still be classed as adolescent scoliosis, not adult scoliosis.
Scoliosis isn’t always easy to catch, especially in its milder forms or early in the condition’s progression. With adolescents, pain is rarely present, making it more difficult to notice, and postural changes are often subtle and would only be noticed by a specialist who knows how to recognize those subtle signs.
The code M41 for scoliosis includes kyphoscoliosis (lateral curvature of the spine accompanied by hyperkyphosis of the thoracic spine), but excludes cases of scoliosis caused by bony malformations (congenital), as well as cases of scoliosis which arose as a consequence of surgery or other procedures (post-procedural).
It would be used when the radiation treatment for a neuroblastoma, lymphoma, or similar condition induces a scoliosis, as opposed to the disease itself causing the scoliosis. Neuromuscular scoliosis (M41.4) is the correct code to use for cases of scoliosis associated with neuromuscular disorders, such as cerebral palsy, Friedriech’s ataxia, ...
Juvenile idiopathic scoliosis (M41.11) is diagnosed from 3 to 9 years of age. Between the ages of 3 to 6 is considered early-onset juvenile scoliosis; 7 to 9 is considered late-onset juvenile scoliosis; the prognosis is poorer in younger patients, as scoliosis progresses at a higher rate when the patient has growth potential remaining.
It is more common in males than in females. Many cases of idiopathic infantile scoliosis tend to spontaneously resolve within a few years ; however, those that do not stand a great risk of progressing to severe levels later in life.
Kyphoscoliotic heart disease (I27.1) is used only in a specific set of circumstances: when lateral curvature of the spine (scoliosis) accompanied by thoracic hyperkyphosis causes difficulty breathing due to hypoxemia, which in turn leads to pulmonary hypertension and ventricular hypertrophy.
However, the Scoliosis Research Society defines thoracogenic scoliosis as, “spinal curvature attributable to disease or operative trauma in or on the thoracic cage. ”.
This includes cases of degenerative (or de novo) scoliosis, which tend to arise in the lumbar spine in individuals past the age of 40 as a consequence of intervertebral disc degeneration and a loss of integrity of the annulus fibrosus. Degenerative scoliosis is often accompanied by lateral listhesis (sideways slippage) of the apical vertebra (e), ...