Infantile idiopathic scoliosis, cervical region
ICD-10 M41.02 is a billable code used to indicate a diagnosis of infantile idiopathic scoliosis, cervical region.
Infantile idiopathic scoliosis (IIS) is a spinal deformity characterized by an abnormal lateral curvature of the spine that occurs in children under the age of 3. The condition is termed 'idiopathic' because the exact cause remains unknown, although it is believed to involve a combination of genetic and environmental factors. In the cervical region, this curvature can lead to significant postural abnormalities and potential complications, including respiratory issues and discomfort. The diagnosis is typically made through clinical examination and imaging studies, such as X-rays, which reveal the degree of curvature. Treatment options vary based on the severity of the curvature and the age of the child, ranging from observation and physical therapy to bracing and, in severe cases, surgical intervention. Surgical options may include spinal fusion procedures to correct the curvature and stabilize the spine. Early diagnosis and intervention are crucial to prevent progression and associated complications.
Detailed clinical notes, imaging results, and treatment plans must be documented.
Diagnosis of scoliosis during routine check-ups, treatment planning for bracing or surgery.
Consideration of growth patterns and potential for progression is crucial.
Progress notes detailing therapy sessions, patient response, and modifications to treatment.
Rehabilitation following spinal surgery or bracing.
Therapists must document functional improvements and any changes in curvature.
Used in cases of severe curvature requiring surgical correction.
Pre-operative assessment, imaging studies, and surgical notes.
Pediatric orthopedic surgeons must document growth considerations.
The primary treatment for infantile idiopathic scoliosis may include observation, bracing, or surgical intervention, depending on the severity of the curvature and the age of the child.
