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ICD-10 Guide
ICD-10 CodesM41.47

M41.47

Billable

Neuromuscular scoliosis, lumbosacral region

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

Code Description

ICD-10 M41.47 is a billable code used to indicate a diagnosis of neuromuscular scoliosis, lumbosacral region.

Key Diagnostic Point:

Neuromuscular scoliosis is a type of scoliosis that arises due to underlying neuromuscular conditions, such as cerebral palsy, muscular dystrophy, or spinal muscular atrophy. This condition is characterized by an abnormal lateral curvature of the spine, which can lead to significant deformity and functional impairment. In the lumbosacral region, the curvature typically occurs in the lower back, affecting the lumbar and sacral vertebrae. Patients may experience pain, reduced mobility, and respiratory issues due to the compromised thoracic cavity. The progression of neuromuscular scoliosis can be rapid, necessitating early intervention. Treatment options may include bracing, physical therapy, and surgical interventions such as spinal fusion to stabilize the spine and correct the deformity. Accurate diagnosis and coding are crucial for effective management and reimbursement, as the complexity of the condition often requires multidisciplinary care.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variety of underlying neuromuscular conditions contributing to scoliosis.
  • Need for detailed documentation of the patient's medical history and functional status.
  • Potential for rapid progression of the condition requiring frequent reassessment.
  • Variability in treatment approaches and outcomes based on individual patient factors.

Audit Risk Factors

  • Inadequate documentation of the underlying neuromuscular condition.
  • Failure to document the severity and progression of scoliosis.
  • Lack of evidence for treatment decisions made.
  • Inconsistent coding of related conditions or procedures.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed surgical notes, pre-operative assessments, and post-operative follow-ups.

Common Clinical Scenarios

Surgical intervention for severe scoliosis, including spinal fusion.

Billing Considerations

Documentation must clearly outline the rationale for surgery and expected outcomes.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive evaluations, treatment plans, and progress notes.

Common Clinical Scenarios

Management of scoliosis through non-surgical means, including physical therapy.

Billing Considerations

Focus on functional outcomes and patient quality of life.

Coding Guidelines

Inclusion Criteria

Use M41.47 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the underlying neuromuscular condition and the specific spinal region affected
  • Include any relevant comorbidities that may impact treatment

Exclusion Criteria

Do NOT use M41.47 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22610CPT Code

Spinal fusion, posterior or posterolateral technique

Clinical Scenario

Used in surgical correction of severe neuromuscular scoliosis.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Orthopedic surgeons must document the patient's functional status pre- and post-operatively.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of neuromuscular scoliosis, improving the ability to capture the complexity of the condition and its management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neuromuscular scoliosis, improving the ability to capture the complexity of the condition and its management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of neuromuscular scoliosis, improving the ability to capture the complexity of the condition and its management.

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 neuromuscular scoliosis?

Neuromuscular scoliosis is primarily caused by conditions that affect muscle control and strength, such as cerebral palsy, muscular dystrophy, or spinal muscular atrophy.