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ICD-10 Guide
ICD-10 CodesM41.114

M41.114

Billable

Juvenile idiopathic scoliosis, thoracic region

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

Code Description

ICD-10 M41.114 is a billable code used to indicate a diagnosis of juvenile idiopathic scoliosis, thoracic region.

Key Diagnostic Point:

Juvenile idiopathic scoliosis (JIS) is a spinal deformity characterized by an abnormal lateral curvature of the spine that occurs in children aged 4 to 10 years. The thoracic region is specifically affected, leading to a curvature that can progress if not monitored and treated appropriately. The etiology of JIS remains largely unknown, hence the term 'idiopathic.' This condition can lead to significant physical deformities, respiratory issues, and psychosocial impacts if left untreated. Diagnosis typically involves clinical examination and imaging studies, such as X-rays, to assess the degree of curvature and its progression. Treatment options vary based on the severity of the curvature and may include observation, bracing, or surgical intervention, such as spinal fusion, to correct the deformity and stabilize the spine. Early detection and intervention are crucial to prevent complications and improve outcomes for affected children.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of scoliosis in children.
  • Need for precise measurement of curvature angles for accurate coding.
  • Differentiation from other types of scoliosis, such as congenital or neuromuscular.
  • Documentation requirements for treatment plans and follow-up care.

Audit Risk Factors

  • Inadequate documentation of curvature measurements.
  • Failure to document the treatment plan and follow-up.
  • Misclassification of idiopathic scoliosis as congenital or neuromuscular.
  • Lack of evidence for the necessity of surgical intervention.

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 pre-operative assessments.

Billing Considerations

Consideration of growth patterns and potential for curve progression in children.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional limitations and rehabilitation goals.

Common Clinical Scenarios

Rehabilitation post-surgery or bracing, management of pain and mobility issues.

Billing Considerations

Focus on multidisciplinary approaches to treatment and long-term follow-up.

Coding Guidelines

Inclusion Criteria

Use M41.114 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, treatment, and any associated conditions
  • Include specific details about the curvature and any interventions performed

Exclusion Criteria

Do NOT use M41.114 When
  • Exclude conditions that do not meet the criteria for juvenile idiopathic scoliosis

Related ICD-10 Codes

Related CPT Codes

22610CPT Code

Spinal fusion, posterior technique

Clinical Scenario

Used for surgical correction of severe juvenile idiopathic scoliosis.

Documentation Requirements

Operative reports detailing the procedure, indications, and post-operative care.

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 reimbursement processes. This specificity aids in better tracking of treatment outcomes and resource allocation.

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 reimbursement processes. This specificity aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better tracking of treatment outcomes and resource allocation.

Resources

Clinical References

  • •
    American Academy of Orthopaedic Surgeons (AAOS)

Coding & Billing References

  • •
    American Academy of Orthopaedic Surgeons (AAOS)

Frequently Asked Questions

What is the age range for juvenile idiopathic scoliosis?

Juvenile idiopathic scoliosis typically affects children aged 4 to 10 years.

How is juvenile idiopathic scoliosis diagnosed?

Diagnosis is made through clinical examination and imaging studies, particularly X-rays, to assess the curvature of the spine.

What are the treatment options for juvenile idiopathic scoliosis?

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

What is the significance of the Cobb angle in scoliosis?

The Cobb angle is a measurement used to quantify the degree of spinal curvature, which is critical for determining treatment options.