Adolescent idiopathic scoliosis, site unspecified
ICD-10 M41.129 is a billable code used to indicate a diagnosis of adolescent idiopathic scoliosis, site unspecified.
Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity characterized by lateral curvature of the spine, typically occurring in children and adolescents during their growth spurts. The condition is termed 'idiopathic' because the exact cause remains unknown, although genetic and environmental factors may play a role. The curvature can lead to asymmetry in the shoulders, waist, and hips, and may result in postural changes and discomfort. Diagnosis is primarily based on physical examination and radiographic imaging, which assesses the Cobb angle to determine the severity of the curvature. Treatment options vary depending on the degree of curvature and the patient's age, ranging from observation and bracing to surgical interventions such as spinal fusion. The site of the curvature can vary, but in this code, it is unspecified, indicating that the specific location of the spinal deformity has not been documented. Early detection and management are crucial to prevent progression and associated complications.
Detailed imaging reports, treatment plans, and follow-up notes.
Surgical intervention for severe curvature, bracing recommendations.
Ensure accurate Cobb angle measurements and specify the need for surgical intervention.
Growth charts, physical examination findings, and family history.
Routine screening for scoliosis in adolescents, monitoring progression.
Document any referrals to specialists and the rationale for treatment decisions.
Used for surgical correction of severe idiopathic scoliosis.
Pre-operative assessments, imaging studies, and surgical notes.
Orthopedic surgeons must document the rationale for surgical intervention.
The Cobb angle is a measurement used to quantify the degree of spinal curvature in scoliosis. It is critical for determining the severity of the condition and guiding treatment decisions.
