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ICD-10 Guide
ICD-10 CodesM41.117

M41.117

Billable

Juvenile idiopathic scoliosis, lumbosacral region

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

Code Description

ICD-10 M41.117 is a billable code used to indicate a diagnosis of juvenile idiopathic scoliosis, lumbosacral region.

Key Diagnostic Point:

Juvenile idiopathic scoliosis (JIS) is a form of scoliosis that occurs in children aged 3 to 10 years. It is characterized by an abnormal lateral curvature of the spine that is not attributable to any identifiable cause. The lumbosacral region, which includes the lower back and sacrum, is often affected, leading to potential complications such as pain, reduced mobility, and psychosocial issues. The etiology of JIS remains largely unknown, but it is believed to involve genetic and environmental factors. Diagnosis typically involves physical examination, radiographic imaging, and assessment of spinal curvature using the Cobb angle method. 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.

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
  • Potential for associated conditions requiring additional coding

Audit Risk Factors

  • Inadequate documentation of curvature measurements
  • Failure to specify idiopathic nature
  • Lack of follow-up documentation
  • Misclassification with other types of scoliosis

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed imaging reports, treatment plans, and follow-up notes.

Common Clinical Scenarios

Surgical intervention for severe curvature, bracing recommendations.

Billing Considerations

Ensure accurate measurement of Cobb angle and documentation of idiopathic nature.

Pediatrics

Documentation Requirements

Growth charts, physical examination findings, and family history.

Common Clinical Scenarios

Routine screening for scoliosis in school-aged children.

Billing Considerations

Documenting developmental milestones and psychosocial impacts on the child.

Coding Guidelines

Inclusion Criteria

Use M41.117 When
  • According to ICD
  • 10 guidelines, M41
  • 117 should be used when the scoliosis is idiopathic and specifically affects the lumbosacral region
  • Coders should ensure that the diagnosis is supported by clinical documentation and imaging studies

Exclusion Criteria

Do NOT use M41.117 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22800CPT Code

Spinal fusion, posterior technique

Clinical Scenario

Used for surgical correction of severe juvenile idiopathic scoliosis.

Documentation Requirements

Operative reports detailing the procedure and indications.

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 data accuracy and facilitating better tracking of treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of juvenile idiopathic scoliosis, improving data accuracy and facilitating better tracking of treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of juvenile idiopathic scoliosis, improving data accuracy and facilitating better tracking of treatment outcomes.

Resources

Clinical References

  • •
    American Academy of Orthopaedic Surgeons

Coding & Billing References

  • •
    American Academy of Orthopaedic Surgeons

Frequently Asked Questions

What is juvenile idiopathic scoliosis?

Juvenile idiopathic scoliosis is a type of scoliosis that occurs in children aged 3 to 10 years, characterized by an abnormal curvature of the spine with no identifiable cause.