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ICD-10 Guide
ICD-10 CodesM41.34

M41.34

Billable

Thoracogenic scoliosis, thoracic region

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/17/2025

Code Description

ICD-10 M41.34 is a billable code used to indicate a diagnosis of thoracogenic scoliosis, thoracic region.

Key Diagnostic Point:

Thoracogenic scoliosis refers to a type of scoliosis that arises due to structural abnormalities in the thoracic spine, often resulting from congenital malformations, neuromuscular conditions, or other underlying pathologies. This condition is characterized by a lateral curvature of the spine in the thoracic region, which can lead to significant postural changes, respiratory issues, and discomfort. The curvature may be progressive, necessitating careful monitoring and intervention. Patients may present with asymmetry in shoulder height, rib prominence, and potential complications such as reduced lung capacity. Treatment options vary based on the severity of the curvature and may include physical therapy, bracing, or surgical interventions such as spinal fusion. Surgical procedures aim to correct the curvature and stabilize the spine, often involving instrumentation and fusion of the affected vertebrae. Accurate diagnosis and coding are crucial for appropriate management and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of scoliosis (idiopathic vs. thoracogenic)
  • Understanding the underlying causes of thoracogenic scoliosis
  • Identifying associated conditions that may complicate coding
  • Navigating the documentation requirements for surgical interventions

Audit Risk Factors

  • Inadequate documentation of the underlying cause of scoliosis
  • Failure to specify the severity of the curvature
  • Incorrect coding of associated conditions
  • Lack of clarity in surgical documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, pre-operative assessments, and post-operative follow-ups are essential.

Common Clinical Scenarios

Patients presenting with progressive scoliosis requiring surgical intervention.

Billing Considerations

Ensure that all surgical procedures are clearly linked to the diagnosis of thoracogenic scoliosis.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive evaluations, treatment plans, and progress notes are necessary.

Common Clinical Scenarios

Patients undergoing conservative management for scoliosis.

Billing Considerations

Documenting the functional impact of scoliosis on daily activities is crucial.

Coding Guidelines

Inclusion Criteria

Use M41.34 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include any relevant history of the condition and associated symptoms

Exclusion Criteria

Do NOT use M41.34 When
  • Exclude codes for idiopathic scoliosis unless specified

Related ICD-10 Codes

Related CPT Codes

22612CPT Code

Spinal fusion, posterior technique

Clinical Scenario

Used in surgical correction of thoracogenic scoliosis.

Documentation Requirements

Operative report detailing the procedure and indication.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgical intervention.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of scoliosis types, improving the accuracy of diagnoses and treatment plans. M41.34 provides a clear distinction for thoracogenic scoliosis, which aids in clinical management and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of scoliosis types, improving the accuracy of diagnoses and treatment plans. M41.34 provides a clear distinction for thoracogenic scoliosis, which aids in clinical management and reimbursement.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between thoracogenic scoliosis and idiopathic scoliosis?

Thoracogenic scoliosis is caused by structural abnormalities in the thoracic spine, while idiopathic scoliosis has no known cause. Accurate coding requires understanding the underlying etiology.