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v1.0.0
ICD-10 Guide
DiagnosesLumbar Levoscoliosis

Lumbar Levoscoliosis

ICD-10 Coding for Lumbar Levoscoliosis(M41.85, M41.4)

PRIMARY SPECIALTYOrthopedics
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Lumbar Levoscoliosis?
Essential facts and insights about Lumbar Levoscoliosis

Key Clinical Considerations:

  • Lateral curvature of the lumbar spine with a convexity to the left
  • Back pain, muscle spasms, and postural abnormalities
  • X-ray findings showing curvature greater than 10 degrees

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including onset and duration of symptoms
  • Physical examination results detailing spinal alignment and range of motion
  • Imaging reports confirming diagnosis and degree of curvature

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for scoliosis coding based on curvature direction and severity.
  • Common errors include misclassifying the type of scoliosis or omitting curvature measurements.

Code Exclusions

Important Exclusions

  • Congenital scoliosis and neuromuscular scoliosis
  • Alternative codes for other types of scoliosis

Related ICD-10 Codes

Primary Codes
M41.27
Lumbar levoscoliosis
Ancillary Codes
M99.03
Differential Codes
M41.5
T12-
L1
junction.
M41.2

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Orthopedics

Specialty Applications

  • Adolescents and adults with idiopathic or degenerative scoliosis
  • Orthopedic clinics and rehabilitation centers

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Document the degree of curvature, associated symptoms, and treatment plan.

What are the billing considerations?

Ensure accurate coding to reflect the severity and complexity of the condition.