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ICD-10 Guide
ICD-10 CodesM41.24

M41.24

Billable

Other idiopathic scoliosis, thoracic region

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

Code Description

ICD-10 M41.24 is a billable code used to indicate a diagnosis of other idiopathic scoliosis, thoracic region.

Key Diagnostic Point:

M41.24 refers to a specific type of idiopathic scoliosis affecting the thoracic region of the spine. Idiopathic scoliosis is characterized by an abnormal lateral curvature of the spine that occurs without a known cause. This condition typically manifests during adolescence and can progress over time, leading to potential complications such as respiratory issues, chronic pain, and reduced quality of life. The thoracic region, which comprises the upper and mid-back, is particularly susceptible to deformities that can affect posture and overall spinal alignment. Diagnosis often involves physical examinations, radiographic imaging, and assessments of spinal curvature. Treatment options may vary based on the severity of the curvature and the age of the patient, ranging from observation and bracing to surgical interventions such as spinal fusion. Understanding the nuances of idiopathic scoliosis, including its classification and management, is crucial for accurate coding and effective patient care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of scoliosis
  • Need for precise documentation of curvature measurements
  • Differentiation from other types of scoliosis (e.g., congenital, neuromuscular)
  • Potential for coexisting spinal conditions (e.g., kyphosis, lordosis)

Audit Risk Factors

  • Inadequate documentation of curvature measurements
  • Failure to specify the idiopathic nature of the scoliosis
  • Lack of clarity regarding treatment plans
  • Misclassification of scoliosis type

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed imaging reports, curvature measurements, and treatment plans.

Common Clinical Scenarios

Patients presenting with progressive scoliosis, requiring surgical intervention.

Billing Considerations

Ensure accurate documentation of pre-operative assessments and post-operative outcomes.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments, treatment goals, and progress notes.

Common Clinical Scenarios

Patients undergoing conservative management with physical therapy.

Billing Considerations

Documenting the impact of scoliosis on functional abilities and quality of life.

Coding Guidelines

Inclusion Criteria

Use M41.24 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the idiopathic nature of the scoliosis and its thoracic location
  • Include curvature measurements and treatment plans in the medical record

Exclusion Criteria

Do NOT use M41.24 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22554CPT Code

Spinal fusion, posterior technique

Clinical Scenario

Used in surgical treatment of severe idiopathic scoliosis.

Documentation Requirements

Pre-operative assessments, surgical notes, and post-operative follow-up.

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 scoliosis types, improving the accuracy of patient records and treatment plans. M41.24 provides a distinct code for idiopathic scoliosis in the thoracic region, enhancing the granularity of data for research and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of scoliosis types, improving the accuracy of patient records and treatment plans. M41.24 provides a distinct code for idiopathic scoliosis in the thoracic region, enhancing the granularity of data for research and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of scoliosis types, improving the accuracy of patient records and treatment plans. M41.24 provides a distinct code for idiopathic scoliosis in the thoracic region, enhancing the granularity of data for research and treatment outcomes.

Resources

Clinical References

  • •
    American Academy of Orthopaedic Surgeons (AAOS)

Coding & Billing References

  • •
    American Academy of Orthopaedic Surgeons (AAOS)

Frequently Asked Questions

What is the difference between idiopathic scoliosis 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.