Adolescent idiopathic scoliosis, lumbar region
ICD-10 M41.126 is a billable code used to indicate a diagnosis of adolescent idiopathic scoliosis, lumbar region.
Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity characterized by lateral curvature of the spine, typically occurring during the growth spurt just before puberty. The lumbar region is specifically affected in this code, indicating that the curvature is primarily located in the lower back. The etiology of AIS remains largely unknown, although genetic factors and environmental influences may play a role. Clinically, patients may present with asymmetry in shoulder height, rib prominence, and waistline irregularities. Diagnosis is confirmed through physical examination and imaging studies, such as X-rays, which reveal the degree of curvature measured in degrees using the Cobb angle. Treatment options vary based on the severity of the curvature and the patient's age, ranging from observation and bracing to surgical interventions like spinal fusion. Early detection and management are crucial to prevent progression and associated complications, including pain and impaired function.
Detailed imaging reports, surgical notes, and follow-up assessments.
Surgical intervention for severe curvature, monitoring of progression in adolescents.
Ensure accurate documentation of Cobb angles and surgical approaches.
Growth charts, physical examination findings, and referral notes.
Routine screening for scoliosis in adolescents, management of mild cases.
Document family history and any associated symptoms.
Used when surgical intervention is required for severe scoliosis.
Operative report detailing the procedure and indications.
Orthopedic surgeons must document pre-operative assessments and post-operative care.
The Cobb angle is a critical measurement used to assess the severity of scoliosis. It helps determine the need for treatment and the potential for progression of the curvature.
