· Unspecified kyphosis, thoracic region 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code M40.204 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 M40.204 became effective on October 1, 2021.
· Postural kyphosis, thoracic region 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code M40.04 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 M40.04 became effective on October 1, 2021.
· 2022 ICD-10-CM Diagnosis Code M41.34 2022 ICD-10-CM Diagnosis Code M41.34 Thoracogenic scoliosis, thoracic region 2016 2017 2018 2019 2020 2021 2022 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 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).
Thoracogenic scoliosis (M41.3) is not a very commonly used code; however, when it is used, it is often used incorrectly. Literally interpreted, “thoracogenic” means, “arising in the thoracic spine.” Thus, one might incorrectly use this code for a case of scoliosis which began in the thoracic spine. However, the Scoliosis Research Society defines thoracogenic scoliosis as, “spinal curvature attributable to disease or operative trauma in or on the thoracic cage.” In reality, this code should only be used when the patient has a case of scoliosis that arose either as a consequence of an operation (such as a thoracotomy or thoracoplasty), or due to a non-neuromuscular disease process, such as a lymphoma.
Post-operative cases of scoliosis will need to be accompanied by the proper diagnosis code for the scoliosis (M41.12 for adolescent idiopathic scoliosis, for example), as well as the code Z98.1 (arthrodesis status). This code is grouped within the Diagnostic Related Group (DRG) as a factor influencing health status, and can be used to indicate a variety of types of surgically-induced fusions (as opposed to congenital).
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).
Postradiation scoliosis (M96.5) is subtly different from thoracogenic scoliosis. 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.
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.
Kyphoscoliosis describes an abnormal curvature of the spine in both a coronal and sagittal plane. It is a combination of kyphosis and scoliosis. This musculoskeletal disorder often leads to other issues in patients, such as under-ventilation of lungs, pulmonary hypertension, difficulty in performing the day to day activities, psychological issues emanating from fear of acceptance among peers, especially in young patients.. It can also be seen in syringomyelia, Friedreich's ataxia and Duchenne muscular dystrophy due to asymmetric weakening of the paraspinal muscles.
DRG Group #456-458 - Spinal fus except cerv with spinal curv or malig or infec or 9+ fus without CC or MCC.