Adolescent idiopathic scoliosis
ICD-10 M41.12 is a billable code used to indicate a diagnosis of adolescent idiopathic scoliosis.
Adolescent idiopathic scoliosis (AIS) is a spinal deformity characterized by a lateral curvature of the spine that occurs during the growth spurt just before puberty. The condition is termed 'idiopathic' because the exact cause remains unknown, although genetic factors may play a role. The curvature is typically assessed using the Cobb angle, with a measurement of 10 degrees or more indicating scoliosis. AIS can lead to physical deformities, including uneven shoulders, a prominent rib cage, and a tilted waist. While many cases are mild and require only monitoring, severe cases may necessitate intervention, such as bracing or surgical procedures like spinal fusion. The condition can also be associated with other spinal deformities, including kyphosis (excessive outward curvature of the spine) and lordosis (excessive inward curvature). Early detection and management are crucial to prevent progression and associated complications.
Detailed clinical notes on curvature measurements, treatment plans, and follow-up assessments.
Patients presenting with back pain, visible spinal deformities, or referrals for surgical evaluation.
Ensure accurate documentation of the Cobb angle and any imaging studies performed.
Growth charts, family history of scoliosis, and physical examination findings.
Routine school screenings revealing potential scoliosis or referrals for further evaluation.
Document growth spurts and any changes in symptoms over time.
Used in cases of severe AIS requiring surgical correction.
Operative report detailing the procedure, indications, and preoperative assessments.
Orthopedic surgeons must document the rationale for surgical intervention.
The primary treatment for adolescent idiopathic scoliosis depends on the severity of the curvature. Mild cases may only require observation, while moderate to severe cases may necessitate bracing or surgical intervention, such as spinal fusion.
