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ICD-10 Guide
ICD-10 CodesM41.112

M41.112

Billable

Juvenile idiopathic scoliosis, cervical region

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

Code Description

ICD-10 M41.112 is a billable code used to indicate a diagnosis of juvenile idiopathic scoliosis, cervical region.

Key Diagnostic Point:

Juvenile idiopathic scoliosis (JIS) is a form of scoliosis that occurs in children aged 10 to 18 years, characterized by a lateral curvature of the spine that is not attributable to any identifiable cause. When this condition affects the cervical region, it can lead to significant postural deformities and functional impairments. The etiology of JIS remains largely unknown, but it is believed to involve a combination of genetic, environmental, and biomechanical factors. Clinically, patients may present with asymmetry in shoulder height, rib prominence, and spinal rotation. Diagnosis is typically confirmed through physical examination and radiographic imaging, which reveals the degree of curvature and its impact on spinal alignment. Treatment options vary based on the severity of the curvature and may include observation, bracing, or surgical intervention such as spinal fusion. Early detection and management are crucial to prevent progression and associated complications, including respiratory issues and chronic pain.

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 growth patterns and treatment response

Audit Risk Factors

  • Inadequate documentation of curvature measurements
  • Failure to specify the cervical region involvement
  • Misclassification of idiopathic versus secondary scoliosis
  • Lack of follow-up documentation on treatment efficacy

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed imaging reports, curvature measurements, and treatment plans.

Common Clinical Scenarios

Surgical intervention for severe curvature, monitoring progression in growing children.

Billing Considerations

Ensure accurate documentation of the degree of curvature and any associated symptoms.

Pediatrics

Documentation Requirements

Growth charts, physical examination findings, and family history.

Common Clinical Scenarios

Routine screening for scoliosis in school-aged children, referral for orthopedic evaluation.

Billing Considerations

Document any developmental milestones and potential impact on daily activities.

Coding Guidelines

Inclusion Criteria

Use M41.112 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's severity and location
  • Include any relevant comorbidities and specify the type of scoliosis when applicable

Exclusion Criteria

Do NOT use M41.112 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22840CPT Code

Spinal fusion, posterior technique

Clinical Scenario

Used for surgical correction of severe scoliosis in adolescents.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons must document the rationale for surgical intervention.

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 accuracy of data collection and treatment tracking. This specificity aids in better management and research of the condition.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of juvenile idiopathic scoliosis, improving the accuracy of data collection and treatment tracking. This specificity aids in better management and research of the condition.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of juvenile idiopathic scoliosis, improving the accuracy of data collection and treatment tracking. This specificity aids in better management and research of the condition.

Resources

Clinical References

  • •
    American Academy of Orthopaedic Surgeons

Coding & Billing References

  • •
    American Academy of Orthopaedic Surgeons

Frequently Asked Questions

What is the age range for juvenile idiopathic scoliosis?

Juvenile idiopathic scoliosis typically occurs in children aged 10 to 18 years.

How is juvenile idiopathic scoliosis diagnosed?

Diagnosis is made through clinical examination and radiographic imaging to assess the degree of spinal curvature.

What are the treatment options for M41.112?

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