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ICD-10 Guide
ICD-10 CodesM41.11

M41.11

Billable

Juvenile idiopathic scoliosis

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

Code Description

ICD-10 M41.11 is a billable code used to indicate a diagnosis of juvenile idiopathic scoliosis.

Key Diagnostic Point:

Juvenile idiopathic scoliosis (JIS) is a type of scoliosis that occurs in children aged 4 to 10 years. It is characterized by an abnormal lateral curvature of the spine that is not attributable to any known cause. The condition can lead to significant spinal deformities, affecting the child's posture and potentially leading to respiratory and cardiac issues if left untreated. The etiology of JIS remains largely unknown, although genetic factors may play a role. Diagnosis typically involves a physical examination and imaging studies, such as X-rays, to assess the degree of curvature. Treatment options vary based on the severity of the curvature and the age of the child, ranging from observation and bracing to surgical intervention, such as spinal fusion, in more severe cases. Early detection and management are crucial to prevent progression and associated complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of scoliosis
  • Need for precise measurement of spinal curvature
  • Differentiation from other types of scoliosis
  • Documentation of treatment plans and outcomes

Audit Risk Factors

  • Inadequate documentation of curvature measurements
  • Failure to specify the type of scoliosis
  • Lack of treatment plan documentation
  • Misclassification of idiopathic versus secondary scoliosis

Specialty Focus

Medical Specialties

Pediatric Orthopedics

Documentation Requirements

Detailed clinical notes on physical examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Initial diagnosis of scoliosis, monitoring progression, and planning for surgical intervention.

Billing Considerations

Ensure accurate measurement of Cobb angle and documentation of any bracing or surgical interventions.

Physical Therapy

Documentation Requirements

Progress notes detailing treatment modalities, patient response, and functional outcomes.

Common Clinical Scenarios

Rehabilitation post-surgery or bracing, and ongoing management of scoliosis.

Billing Considerations

Document specific therapeutic exercises and their impact on spinal alignment.

Coding Guidelines

Inclusion Criteria

Use M41.11 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, treatment plan, and any associated conditions
  • Include specific details about the curvature and its impact on the patient's health

Exclusion Criteria

Do NOT use M41.11 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22554CPT Code

Spinal fusion, posterior technique

Clinical Scenario

Used for surgical correction of severe juvenile idiopathic scoliosis.

Documentation Requirements

Operative report detailing the procedure, indications, and postoperative care.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgery and expected outcomes.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of juvenile idiopathic scoliosis, improving the ability to track and manage this condition. It has also enhanced the granularity of data for research and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of juvenile idiopathic scoliosis, improving the ability to track and manage this condition. It has also enhanced the granularity of data for research and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of juvenile idiopathic scoliosis, improving the ability to track and manage this condition. It has also enhanced the granularity of data for research and treatment outcomes.

Resources

Clinical References

  • •
    American Academy of Orthopaedic Surgeons
  • •
    Scoliosis Research Society

Coding & Billing References

  • •
    American Academy of Orthopaedic Surgeons
  • •
    Scoliosis Research Society

Frequently Asked Questions

What is the age range for juvenile idiopathic scoliosis?

Juvenile idiopathic scoliosis typically occurs in children aged 4 to 10 years.

How is juvenile idiopathic scoliosis diagnosed?

Diagnosis is made through physical examination and imaging studies, such as X-rays, to assess the degree of spinal curvature.

What are the treatment options for juvenile idiopathic scoliosis?

Treatment options include observation, bracing, and surgical intervention, depending on the severity of the curvature.

What is the significance of the Cobb angle in scoliosis?

The Cobb angle is used to measure the degree of spinal curvature and is critical in determining the treatment approach.