Other secondary scoliosis, cervicothoracic region
ICD-10 M41.53 is a billable code used to indicate a diagnosis of other secondary scoliosis, cervicothoracic region.
M41.53 refers to a specific type of scoliosis that occurs in the cervicothoracic region of the spine, which is the area where the cervical spine (neck) meets the thoracic spine (upper back). This condition is classified as secondary scoliosis, meaning it arises as a result of another underlying condition or factor, such as neuromuscular disorders, congenital anomalies, or previous spinal surgeries. Patients with M41.53 may present with a range of symptoms including uneven shoulders, a prominent shoulder blade, or a noticeable curve in the spine. The cervicothoracic region is particularly significant as it can affect respiratory function and overall mobility. Treatment options may include physical therapy, bracing, or surgical interventions such as spinal fusion, depending on the severity and underlying cause of the scoliosis. Accurate diagnosis and coding are essential for appropriate management and reimbursement, as this condition can significantly impact a patient's quality of life.
Detailed clinical notes including physical examination findings, imaging results, and treatment plans.
Patients presenting with scoliosis due to neuromuscular disorders or post-surgical changes.
Ensure that the underlying cause of scoliosis is clearly documented to support the use of M41.53.
Comprehensive assessments including functional limitations and treatment goals.
Rehabilitation of patients post spinal fusion or those with progressive scoliosis.
Documenting the impact of scoliosis on daily activities and quality of life is crucial.
Used in surgical correction of severe secondary scoliosis.
Operative reports detailing the procedure and indications.
Orthopedic surgeons must document the rationale for surgery and expected outcomes.
Primary scoliosis, such as idiopathic scoliosis, has no identifiable cause, while secondary scoliosis arises from underlying conditions like neuromuscular disorders or previous surgeries.
