Other secondary scoliosis, lumbosacral region
ICD-10 M41.57 is a billable code used to indicate a diagnosis of other secondary scoliosis, lumbosacral region.
M41.57 refers to other secondary scoliosis affecting the lumbosacral region, which is characterized by an abnormal lateral curvature of the spine that occurs as a result of underlying conditions or factors. This type of scoliosis can arise from various etiologies, including neuromuscular disorders, congenital anomalies, or as a consequence of trauma or surgery. The lumbosacral region specifically pertains to the lower part of the spine, where the lumbar vertebrae meet the sacrum. Patients may present with symptoms such as back pain, postural abnormalities, and functional limitations. Diagnosis typically involves a thorough clinical evaluation, imaging studies such as X-rays or MRI, and assessment of the underlying cause. Treatment options may include physical therapy, bracing, or surgical interventions like spinal fusion, depending on the severity and progression of the curvature. Accurate coding is essential for appropriate management and reimbursement, as well as for tracking the epidemiology of spinal deformities.
Detailed clinical notes, imaging reports, and treatment plans must be documented to support the diagnosis.
Patients with neuromuscular disorders leading to scoliosis, post-surgical scoliosis, or scoliosis due to trauma.
Ensure that the underlying cause is clearly documented to justify the use of M41.57.
Comprehensive assessments of functional limitations and treatment plans must be included.
Rehabilitation of patients post-surgery or those with progressive scoliosis due to underlying conditions.
Documenting the impact of scoliosis on daily activities and rehabilitation goals is crucial.
Used in cases where surgical intervention is required for severe secondary scoliosis.
Operative reports and pre-operative assessments must be documented.
Orthopedic surgeons must ensure that the diagnosis aligns with the surgical procedure.
Primary scoliosis is idiopathic and has no identifiable cause, while secondary scoliosis arises from underlying conditions such as neuromuscular disorders, trauma, or congenital anomalies.
