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ICD-10 Guide
ICD-10 CodesM41.30

M41.30

Billable

Thoracogenic scoliosis, site unspecified

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

Code Description

ICD-10 M41.30 is a billable code used to indicate a diagnosis of thoracogenic scoliosis, site unspecified.

Key Diagnostic Point:

Thoracogenic scoliosis is a type of spinal deformity characterized by an abnormal lateral curvature of the spine that originates from thoracic abnormalities. This condition can arise from various factors, including congenital malformations, neuromuscular disorders, or postural issues. The curvature typically occurs in the thoracic region, leading to asymmetry in the rib cage and potential respiratory complications. Patients may present with visible deformities, such as uneven shoulders or hips, and may experience discomfort or pain. Diagnosis is often confirmed through physical examination and imaging studies, such as X-rays or MRI, which help assess the degree of curvature and any associated spinal anomalies. Treatment options vary based on the severity of the curvature and may include physical therapy, bracing, or surgical interventions like spinal fusion to correct the deformity and stabilize the spine. Early intervention is crucial to prevent progression and improve functional outcomes.

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 coexisting conditions affecting treatment

Audit Risk Factors

  • Inadequate documentation of the underlying cause of scoliosis
  • Failure to specify the type of scoliosis when applicable
  • Lack of imaging studies to support diagnosis
  • Inconsistent treatment documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with progressive scoliosis requiring surgical intervention.

Billing Considerations

Ensure that the surgical approach and rationale are clearly documented to support coding.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional limitations and treatment responses.

Common Clinical Scenarios

Patients undergoing conservative management for scoliosis.

Billing Considerations

Documenting the effectiveness of non-surgical interventions is crucial for coding.

Coding Guidelines

Inclusion Criteria

Use M41.30 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's etiology and severity
  • Include any relevant imaging studies and treatment plans in the medical record to support the diagnosis

Exclusion Criteria

Do NOT use M41.30 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22554CPT Code

Spinal fusion, posterior technique

Clinical Scenario

Used in surgical correction of thoracogenic scoliosis.

Documentation Requirements

Operative report detailing the procedure and indications.

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 data collection and reimbursement processes. M41.30 provides a clear designation for thoracogenic scoliosis, facilitating better tracking of treatment outcomes and resource allocation.

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. M41.30 provides a clear designation for thoracogenic scoliosis, facilitating better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement processes. M41.30 provides a clear designation for thoracogenic scoliosis, facilitating better tracking of treatment outcomes and resource allocation.

Resources

Clinical References

  • •
    American Academy of Orthopaedic Surgeons
  • •
    American Academy of Pediatrics

Coding & Billing References

  • •
    American Academy of Orthopaedic Surgeons
  • •
    American Academy of Pediatrics

Frequently Asked Questions

What is the difference between thoracogenic scoliosis and idiopathic scoliosis?

Thoracogenic scoliosis is caused by structural abnormalities in the thoracic spine, while idiopathic scoliosis has no identifiable cause. Accurate coding requires understanding the underlying etiology.