ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesM41.06

M41.06

Billable

Infantile idiopathic scoliosis, lumbar region

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/17/2025

Code Description

ICD-10 M41.06 is a billable code used to indicate a diagnosis of infantile idiopathic scoliosis, lumbar region.

Key Diagnostic Point:

Infantile idiopathic scoliosis (IIS) is a form of scoliosis that occurs in children aged 0 to 3 years. It is characterized by a lateral curvature of the spine that is not associated with any known cause. The lumbar region is specifically affected in this code, indicating that the curvature occurs in the lower back. The etiology of IIS remains largely unknown, but it is believed to involve a combination of genetic and environmental factors. The condition can lead to significant spinal deformities if not monitored and treated appropriately. Early detection is crucial, as the curvature may progress rapidly during periods of growth. Treatment options may include observation, bracing, or surgical intervention, depending on the severity of the curvature and the age of the child. Surgical options may involve spinal fusion procedures to correct the deformity and stabilize the spine. Accurate coding is essential for proper management and reimbursement, as well as for tracking the incidence and outcomes of this condition in pediatric populations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Age-specific coding requirements
  • Differentiation from other types of scoliosis
  • Need for precise documentation of curvature degree
  • Potential for associated conditions

Audit Risk Factors

  • Inadequate documentation of curvature measurements
  • Failure to specify the age of the patient
  • Misclassification of idiopathic versus secondary scoliosis
  • Lack of follow-up documentation for treatment outcomes

Specialty Focus

Medical Specialties

Pediatric Orthopedics

Documentation Requirements

Detailed clinical notes on curvature measurements, growth patterns, and treatment plans.

Common Clinical Scenarios

Monitoring progression of scoliosis in infants, pre-operative assessments for spinal fusion.

Billing Considerations

Consideration of growth spurts and their impact on scoliosis progression.

Physical Therapy

Documentation Requirements

Progress notes detailing therapeutic interventions and patient response.

Common Clinical Scenarios

Rehabilitation post-surgery, management of scoliosis through physical therapy.

Billing Considerations

Focus on functional outcomes and mobility assessments.

Coding Guidelines

Inclusion Criteria

Use M41.06 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the patient's age and the specific spinal region affected
  • Include any relevant clinical findings and treatment plans

Exclusion Criteria

Do NOT use M41.06 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22558CPT Code

Spinal fusion, lumbar

Clinical Scenario

Used in cases of severe idiopathic scoliosis requiring surgical correction.

Documentation Requirements

Pre-operative assessments, imaging studies, and surgical notes.

Specialty Considerations

Pediatric orthopedic surgeons must document growth patterns and curvature measurements.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of scoliosis types, improving the accuracy of data collection and reimbursement processes. M41.06 provides a clear distinction for infantile idiopathic scoliosis, which aids in tracking treatment outcomes and epidemiological studies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of scoliosis types, improving the accuracy of data collection and reimbursement processes. M41.06 provides a clear distinction for infantile idiopathic scoliosis, which aids in tracking treatment outcomes and epidemiological studies.

Reimbursement & Billing Impact

reimbursement processes. M41.06 provides a clear distinction for infantile idiopathic scoliosis, which aids in tracking treatment outcomes and epidemiological studies.

Resources

Clinical References

  • •
    American Academy of Orthopaedic Surgeons (AAOS)
  • •
    Scoliosis Research Society

Coding & Billing References

  • •
    American Academy of Orthopaedic Surgeons (AAOS)
  • •
    Scoliosis Research Society

Frequently Asked Questions

What is the age range for coding M41.06?

M41.06 is specifically for infants and toddlers aged 0 to 3 years.

How do I differentiate between idiopathic and congenital scoliosis?

Idiopathic scoliosis has no known cause and typically presents in infants, while congenital scoliosis is due to structural anomalies present at birth.