ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesM41.00

M41.00

Billable

Infantile idiopathic scoliosis, site unspecified

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

Code Description

ICD-10 M41.00 is a billable code used to indicate a diagnosis of infantile idiopathic scoliosis, site unspecified.

Key Diagnostic Point:

Infantile idiopathic scoliosis is a spinal deformity characterized by an abnormal lateral curvature of the spine that occurs in children aged 0 to 3 years. The etiology remains unknown, hence the term 'idiopathic.' This condition can lead to significant postural abnormalities and may affect the child's growth and development. The curvature can progress rapidly during periods of growth, necessitating careful monitoring and potential intervention. Diagnosis typically involves clinical examination and imaging studies, such as X-rays, to assess the degree of curvature and its impact on spinal alignment. Treatment options vary based on the severity of the curvature and may include observation, bracing, or surgical intervention, such as spinal fusion, in more severe cases. Early detection and management are crucial to prevent complications, including respiratory issues and chronic pain in later life. The site of the curvature may be unspecified, indicating that the curvature is not localized to a specific region of the spine, which can complicate treatment planning and monitoring.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and progression of scoliosis in infants.
  • Need for precise documentation of curvature measurements.
  • Differentiation from other types of scoliosis (e.g., congenital, neuromuscular).
  • Potential for multiple treatment modalities and their documentation.

Audit Risk Factors

  • Inadequate documentation of curvature measurements.
  • Failure to document the progression of the condition.
  • Lack of clear treatment plans or follow-up notes.
  • Misclassification of idiopathic scoliosis as congenital or neuromuscular.

Specialty Focus

Medical Specialties

Pediatric Orthopedics

Documentation Requirements

Detailed clinical notes on physical examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Monitoring of curvature progression, initiation of bracing, or surgical consultation.

Billing Considerations

Consideration of growth spurts and their impact on scoliosis progression.

Physical Therapy

Documentation Requirements

Progress notes detailing therapy interventions, patient response, and functional outcomes.

Common Clinical Scenarios

Rehabilitation post-surgery or management of bracing.

Billing Considerations

Coordination with orthopedic specialists for comprehensive care.

Coding Guidelines

Inclusion Criteria

Use M41.00 When
  • According to ICD
  • 10 guidelines, M41
  • 00 should be used when the curvature is idiopathic and no specific site is identified
  • It is essential to document the clinical findings and treatment rationale thoroughly

Exclusion Criteria

Do NOT use M41.00 When
  • Exclusion criteria include scoliosis due to known causes such as congenital anomalies or neuromuscular disorders

Related ICD-10 Codes

Related CPT Codes

22800CPT Code

Spinal fusion, posterior technique

Clinical Scenario

Used when surgical intervention is required for severe curvature.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgery.

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 planning. M41.00 provides a clear designation for infantile idiopathic scoliosis, facilitating better tracking of outcomes and resource allocation.

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 planning. M41.00 provides a clear designation for infantile idiopathic scoliosis, facilitating better tracking of outcomes and resource allocation.

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 planning. M41.00 provides a clear designation for infantile idiopathic scoliosis, facilitating better tracking of outcomes and resource allocation.

Resources

Clinical References

  • •
    American Academy of Orthopaedic Surgeons (AAOS)

Coding & Billing References

  • •
    American Academy of Orthopaedic Surgeons (AAOS)

Frequently Asked Questions

What is the age range for infantile idiopathic scoliosis?

Infantile idiopathic scoliosis typically occurs in children aged 0 to 3 years.

How is infantile idiopathic scoliosis diagnosed?

Diagnosis is made through clinical examination and imaging studies, such as X-rays, to assess the curvature of the spine.

What are the treatment options for M41.00?

Treatment options may include observation, bracing, or surgical intervention, depending on the severity of the curvature.