Torticollis
ICD-10 M43.6 is a billable code used to indicate a diagnosis of torticollis.
Torticollis, commonly referred to as 'wry neck', is a condition characterized by an abnormal, asymmetrical head or neck position. It can be congenital or acquired, with congenital torticollis often resulting from muscular or skeletal abnormalities present at birth. Acquired torticollis may arise from various causes, including trauma, infections, or neurological disorders. The condition can lead to significant discomfort and functional limitations, affecting the patient's ability to perform daily activities. In some cases, torticollis may be associated with other spinal deformities such as scoliosis, kyphosis, or lordosis, which can complicate the clinical picture. Treatment options vary based on the underlying cause and severity, ranging from physical therapy and medications to surgical interventions, including spinal fusion procedures in severe cases. Accurate diagnosis and coding are essential for effective management and reimbursement.
Detailed physical examination findings, imaging results, and treatment plans.
Patients presenting with neck pain and abnormal head positioning, often requiring imaging studies.
Documentation should clearly differentiate between congenital and acquired forms, as well as any associated spinal deformities.
Neurological assessments, history of symptoms, and any relevant imaging or diagnostic tests.
Patients with neurological conditions presenting with torticollis as a secondary symptom.
Focus on documenting the neurological basis for the torticollis, including any related conditions.
Used in cases where torticollis is associated with severe spinal deformities requiring surgical correction.
Pre-operative assessments, imaging studies, and detailed surgical notes.
Orthopedic surgeons must document the rationale for surgery and expected outcomes.
Congenital torticollis is present at birth and often results from muscle shortening, while acquired torticollis develops later in life due to various factors such as trauma or neurological conditions.
