Scoliosis
Chapter 13:Diseases of the musculoskeletal system
ICD-10 M41 is a billable code used to indicate a diagnosis of scoliosis.
Scoliosis is a three-dimensional spinal deformity characterized by lateral curvature of the spine, often accompanied by vertebral rotation. It can manifest in various forms, including idiopathic, congenital, and neuromuscular scoliosis. The condition can develop during childhood or adolescence, but it may also present in adults due to degenerative changes. Scoliosis can lead to significant physical deformities, functional limitations, and discomfort. The severity of the curvature is typically measured in degrees using radiographic imaging, with curves greater than 10 degrees classified as scoliosis. Treatment options vary based on the severity and underlying cause of the curvature, ranging from observation and bracing in mild cases to surgical intervention, such as spinal fusion, in more severe cases. Early diagnosis and intervention are crucial to prevent progression and associated complications, including respiratory and cardiovascular issues.
Detailed imaging reports, treatment plans, and progress notes.
Preoperative assessments for spinal fusion, postoperative follow-ups.
Ensure accurate documentation of curvature measurements and treatment rationale.
Functional assessments, therapy progress notes, and patient-reported outcomes.
Management of scoliosis-related pain and functional limitations.
Document the impact of scoliosis on daily activities and quality of life.
Used for surgical correction of severe scoliosis.
Operative report detailing the procedure and indications.
Orthopedic surgeons must document preoperative assessments and postoperative outcomes.
Idiopathic scoliosis has no known cause and typically develops during adolescence, while congenital scoliosis is due to malformations of the spine present at birth.
Surgery is generally considered for curves greater than 40-50 degrees, especially if they are progressive or causing significant symptoms.
