Adolescent idiopathic scoliosis, thoracic region
ICD-10 M41.124 is a billable code used to indicate a diagnosis of adolescent idiopathic scoliosis, thoracic region.
Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity characterized by lateral curvature of the spine, typically diagnosed in children and adolescents aged 10 to 18 years. The thoracic region is the most commonly affected area, leading to a curvature that can result in postural changes, respiratory issues, and psychosocial impacts. The etiology of AIS remains largely unknown, although genetic factors may play a role. Diagnosis is primarily through clinical examination and radiographic evaluation, with Cobb angle measurement being the standard for assessing the degree of curvature. Treatment options vary based on the severity of the curvature and the patient's growth potential, ranging from observation and bracing to surgical interventions such as spinal fusion. The goal of treatment is to prevent progression of the curve and to maintain spinal balance and function.
Detailed clinical notes on curvature measurements, treatment plans, and follow-up assessments.
Surgical intervention for severe curves, bracing recommendations for moderate curves.
Ensure accurate documentation of pre-operative assessments and post-operative outcomes.
Growth charts, family history of scoliosis, and developmental assessments.
Routine screening for scoliosis during well-child visits.
Document any psychosocial impacts on the adolescent patient.
Used for surgical correction of severe adolescent idiopathic scoliosis.
Pre-operative assessments, surgical notes, and post-operative follow-up.
Orthopedic surgeons must document the rationale for surgical intervention.
The primary treatment for adolescent idiopathic scoliosis depends on the severity of the curve. Mild cases may be monitored, while moderate cases may require bracing. Severe cases often necessitate surgical intervention, such as spinal fusion.
