Adolescent idiopathic scoliosis, lumbosacral region
ICD-10 M41.127 is a billable code used to indicate a diagnosis of adolescent idiopathic scoliosis, lumbosacral region.
Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity characterized by lateral curvature of the spine, typically diagnosed in children and adolescents aged 10 to 18 years. The lumbosacral region refers specifically to the lower part of the spine, which includes the lumbar vertebrae and the sacrum. The etiology of AIS remains largely unknown, although genetic factors and biomechanical influences are believed to play a role. The condition can lead to significant physical deformities, functional limitations, and psychosocial issues if left untreated. Diagnosis is primarily based on clinical examination and radiographic evaluation, including Cobb angle measurement to assess the degree of curvature. Treatment options vary based on the severity of the curvature and the patient's age, ranging from observation and bracing to surgical intervention, such as spinal fusion, in more severe cases. Early detection and appropriate management are crucial to prevent progression and associated complications.
Detailed imaging reports, treatment plans, and follow-up assessments.
Surgical intervention for severe scoliosis, bracing recommendations, and monitoring of progression.
Ensure accurate documentation of Cobb angles and rationale for surgical decisions.
Growth charts, family history, and developmental assessments.
Routine screening for scoliosis during well-child visits and referrals for orthopedic evaluation.
Document any psychosocial impacts on the patient due to scoliosis.
Used for surgical correction of severe adolescent idiopathic scoliosis.
Operative reports detailing the procedure and pre-operative assessments.
Orthopedic surgeons must document the rationale for surgical intervention.
The Cobb angle is a critical measurement used to assess the severity of scoliosis. It helps determine the need for treatment, including bracing or surgical intervention, and is essential for monitoring progression over time.