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v1.0.0
ICD-10 Guide
ICD-10 CodesM41.8

M41.8

Billable

Other forms of scoliosis

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

Code Description

ICD-10 M41.8 is a billable code used to indicate a diagnosis of other forms of scoliosis.

Key Diagnostic Point:

Scoliosis is a three-dimensional deformity of the spine characterized by lateral curvature and vertebral rotation. While idiopathic scoliosis is the most common form, other types include congenital, neuromuscular, and degenerative scoliosis. M41.8 encompasses various atypical forms of scoliosis that do not fit into the standard classifications. These may arise from conditions such as connective tissue disorders, postural abnormalities, or as a result of previous spinal surgeries. The curvature can lead to significant functional impairment, pain, and psychosocial issues. Diagnosis typically involves clinical evaluation, radiographic imaging, and assessment of the degree of curvature using the Cobb angle. Treatment options vary based on the severity and underlying cause, ranging from physical therapy and bracing to surgical interventions like spinal fusion. Understanding the specific etiology of the scoliosis is crucial for effective management and coding, as it influences treatment decisions and outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to scoliosis
  • Need for precise documentation of curvature type and degree
  • Differentiation from other spinal deformities like kyphosis and lordosis
  • Potential for coexisting conditions requiring additional coding

Audit Risk Factors

  • Inadequate documentation of the specific type of scoliosis
  • Failure to document the degree of curvature
  • Misclassification of scoliosis type
  • Lack of supporting evidence for surgical interventions

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the type of scoliosis, treatment plan, and surgical details if applicable.

Common Clinical Scenarios

Patients presenting with progressive scoliosis requiring surgical intervention or bracing.

Billing Considerations

Ensure accurate documentation of curvature measurements and any associated spinal deformities.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional limitations and treatment responses.

Common Clinical Scenarios

Patients undergoing rehabilitation for scoliosis-related pain or functional impairment.

Billing Considerations

Document the impact of scoliosis on daily activities and the effectiveness of therapeutic interventions.

Coding Guidelines

Inclusion Criteria

Use M41.8 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the specific type of scoliosis and any associated conditions
  • Include details on the curvature's degree and any prior treatments

Exclusion Criteria

Do NOT use M41.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22558CPT Code

Spinal fusion, posterior technique

Clinical Scenario

Used for surgical correction of scoliosis when conservative treatments fail.

Documentation Requirements

Operative report detailing the procedure, indication, and pre-operative imaging.

Specialty Considerations

Orthopedic surgeons must document the specific type of scoliosis and 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 treatment tracking. M41.8 provides a distinct code for atypical forms, enhancing clinical understanding and management.

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 treatment tracking. M41.8 provides a distinct code for atypical forms, enhancing clinical understanding and management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of scoliosis types, improving the accuracy of data collection and treatment tracking. M41.8 provides a distinct code for atypical forms, enhancing clinical understanding and management.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between M41.8 and M41.0?

M41.8 is used for other forms of scoliosis that do not fall under idiopathic classifications, while M41.0 specifically refers to idiopathic scoliosis, which has no known cause.