Infantile idiopathic scoliosis, thoracic region
ICD-10 M41.04 is a billable code used to indicate a diagnosis of infantile idiopathic scoliosis, thoracic region.
Infantile idiopathic scoliosis is a spinal deformity characterized by an abnormal lateral curvature of the spine that occurs in children under the age of three. This condition is classified as idiopathic, meaning the exact cause is unknown, although it is believed to involve a combination of genetic and environmental factors. The thoracic region is specifically affected, leading to a curvature that can impact respiratory function and overall physical development. Diagnosis typically involves clinical examination and imaging studies such as X-rays to assess the degree of curvature. Treatment options vary based on the severity of the curvature and may include observation, bracing, or surgical intervention. Surgical options often involve spinal fusion procedures to correct the curvature and stabilize the spine, particularly in cases where the curvature is progressive or severe. Early detection and intervention are crucial to prevent complications and improve outcomes for affected children.
Detailed clinical notes including physical examination findings, imaging results, and treatment plans.
Initial diagnosis of scoliosis, monitoring progression, and planning surgical intervention.
Documentation must clearly indicate the idiopathic nature and specify the thoracic involvement.
Comprehensive assessments of functional limitations and treatment responses.
Rehabilitation post-surgery and management of non-surgical cases.
Focus on functional outcomes and the impact of scoliosis on daily activities.
Used in surgical correction of severe idiopathic scoliosis.
Operative reports detailing the procedure and pre-operative assessments.
Pediatric orthopedic surgeons must document the rationale for surgical intervention.
The primary treatment for infantile idiopathic scoliosis depends on the severity of the curvature. Mild cases may be monitored, while moderate to severe cases may require bracing or surgical intervention, such as spinal fusion, to correct the curvature and prevent complications.
