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ICD-10 Guide
ICD-10 CodesM41.3

M41.3

Billable

Thoracogenic scoliosis

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

Code Description

ICD-10 M41.3 is a billable code used to indicate a diagnosis of thoracogenic scoliosis.

Key Diagnostic Point:

Thoracogenic scoliosis is a type of spinal deformity characterized by an abnormal lateral curvature of the spine that arises due to thoracic abnormalities. This condition can result from various factors, including congenital malformations, neuromuscular disorders, or structural changes in the thoracic cage. Patients with thoracogenic scoliosis often present with a noticeable asymmetry in the shoulders, rib cage, and waist, which can lead to functional limitations and discomfort. The curvature may progress over time, particularly during periods of rapid growth in children and adolescents. Diagnosis typically involves a thorough clinical examination and imaging studies, such as X-rays, which help assess the degree of curvature and any associated deformities. Treatment options may include observation, bracing, or surgical intervention, such as spinal fusion, depending on the severity of the curvature and the patient's age. Early identification and management are crucial to prevent complications and improve quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of scoliosis
  • Need for comprehensive documentation of clinical findings
  • Differentiation from other types of scoliosis (e.g., idiopathic, degenerative)
  • Potential for associated conditions requiring additional coding

Audit Risk Factors

  • Inadequate documentation of the curvature degree
  • Failure to document associated thoracic abnormalities
  • Misclassification of scoliosis type
  • Lack of follow-up documentation on treatment efficacy

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed clinical notes, imaging results, and treatment plans must be documented.

Common Clinical Scenarios

Surgical intervention for severe thoracogenic scoliosis, pre-operative assessments.

Billing Considerations

Ensure accurate documentation of the curvature's impact on function and quality of life.

Pediatrics

Documentation Requirements

Growth charts, developmental assessments, and family history should be included.

Common Clinical Scenarios

Monitoring scoliosis progression in children and adolescents.

Billing Considerations

Document any neuromuscular conditions that may contribute to scoliosis.

Coding Guidelines

Inclusion Criteria

Use M41.3 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's etiology and severity
  • Include any relevant co
  • existing conditions that may affect treatment

Exclusion Criteria

Do NOT use M41.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22612CPT Code

Spinal fusion, posterior technique

Clinical Scenario

Used in surgical correction of severe thoracogenic scoliosis.

Documentation Requirements

Pre-operative assessments, imaging studies, and surgical notes.

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 thoracogenic scoliosis, 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 thoracogenic scoliosis, 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 primary cause of thoracogenic scoliosis?

Thoracogenic scoliosis is primarily caused by structural abnormalities in the thoracic spine or rib cage, which can be congenital or acquired.