Juvenile and adolescent idiopathic scoliosis
ICD-10 M41.1 is a billable code used to indicate a diagnosis of juvenile and adolescent idiopathic scoliosis.
Juvenile and adolescent idiopathic scoliosis (M41.1) is a spinal deformity characterized by an abnormal lateral curvature of the spine that occurs in children and adolescents, typically between the ages of 10 and 18. The etiology of idiopathic scoliosis remains largely unknown, although genetic factors and environmental influences may play a role. This condition can lead to significant physical deformities, functional limitations, and psychosocial issues if not properly managed. The curvature can progress over time, particularly during periods of rapid growth, and may result in complications such as respiratory issues or chronic pain. Diagnosis is primarily made through clinical examination and imaging studies, such as X-rays, which help assess the degree of curvature and monitor progression. Treatment options vary based on the severity of the curvature and the age of the patient, ranging from observation and bracing to surgical interventions like spinal fusion. Early detection and intervention are crucial to prevent further deformity and associated complications.
Detailed clinical notes on curvature measurements, treatment plans, and follow-up assessments.
Patients presenting with progressive scoliosis, requiring surgical intervention or bracing.
Ensure accurate documentation of the Cobb angle and any associated symptoms.
Growth charts, family history, and developmental milestones should be documented.
Routine screenings for scoliosis in adolescents during well-child visits.
Monitor for psychosocial impacts of scoliosis on the patient.
Used for surgical correction of severe idiopathic scoliosis.
Operative reports detailing the procedure and pre-operative assessments.
Orthopedic surgeons must document the rationale for surgical intervention.
Juvenile idiopathic scoliosis typically refers to cases diagnosed between ages 4 and 10, while adolescent idiopathic scoliosis is diagnosed between ages 10 and 18. The management and potential for progression may differ based on the age of onset.
