ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesM41.123

M41.123

Billable

Adolescent idiopathic scoliosis, cervicothoracic region

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

Code Description

ICD-10 M41.123 is a billable code used to indicate a diagnosis of adolescent idiopathic scoliosis, cervicothoracic region.

Key Diagnostic Point:

Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity characterized by lateral curvature of the spine that occurs during the growth spurt just before puberty. The cervicothoracic region refers to the area of the spine that includes the cervical and upper thoracic vertebrae. This condition is typically diagnosed in adolescents aged 10 to 18 years and is often idiopathic, meaning the exact cause is unknown. The curvature can lead to postural changes, asymmetry, and potential respiratory issues if the curve is severe. Diagnosis is usually confirmed through physical examination and imaging studies such as X-rays, which help assess the degree of curvature using the Cobb angle. Treatment options vary based on the severity of the curve and the risk of progression, ranging from observation and bracing to surgical intervention, such as spinal fusion, in more severe cases. Early detection and appropriate management are crucial to prevent complications and improve outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in curvature severity and progression
  • Need for precise measurement of Cobb angle
  • Differentiation from other types of scoliosis
  • Documentation of growth patterns and treatment response

Audit Risk Factors

  • Inadequate documentation of curvature measurements
  • Failure to document the patient's growth status
  • Lack of evidence for treatment decisions
  • Misclassification of scoliosis type

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Surgical intervention for severe scoliosis, monitoring of curve progression.

Billing Considerations

Ensure accurate documentation of surgical techniques and outcomes.

Pediatrics

Documentation Requirements

Growth charts, physical examination findings, and family history.

Common Clinical Scenarios

Routine screening for scoliosis in adolescents, referral for bracing.

Billing Considerations

Documenting growth spurts and their impact on scoliosis progression.

Coding Guidelines

Inclusion Criteria

Use M41.123 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's severity and treatment
  • Include specific details about the curvature and any associated symptoms

Exclusion Criteria

Do NOT use M41.123 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22800CPT Code

Spinal fusion, posterior technique

Clinical Scenario

Used during surgical intervention for severe scoliosis.

Documentation Requirements

Operative reports detailing the procedure and indications.

Specialty Considerations

Orthopedic surgeons must document the specific levels fused.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of scoliosis types, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of scoliosis types, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    American Academy of Orthopaedic Surgeons

Coding & Billing References

  • •
    American Academy of Orthopaedic Surgeons

Frequently Asked Questions

What is the difference between idiopathic and congenital scoliosis?

Idiopathic scoliosis has no known cause and typically develops during adolescence, while congenital scoliosis is due to malformations of the spine present at birth.