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ICD-10 Guide
ICD-10 CodesM41.83

M41.83

Billable

Other forms of scoliosis, cervicothoracic region

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

Code Description

ICD-10 M41.83 is a billable code used to indicate a diagnosis of other forms of scoliosis, cervicothoracic region.

Key Diagnostic Point:

M41.83 refers to other forms of scoliosis affecting the cervicothoracic region of the spine. Scoliosis is characterized by an abnormal lateral curvature of the spine, which can occur in various forms, including idiopathic, congenital, and neuromuscular scoliosis. In the cervicothoracic region, the curvature can lead to significant postural changes and may affect respiratory function due to the proximity of the cervical spine to the thoracic cavity. Patients may present with symptoms such as neck pain, shoulder asymmetry, and limited range of motion. The condition can be diagnosed through physical examination and imaging studies, including X-rays and MRI. 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, which can significantly improve the patient's quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of scoliosis types
  • Need for precise documentation of curvature measurements
  • Differentiation from other spinal deformities like kyphosis and lordosis
  • Potential for multiple underlying causes requiring thorough evaluation

Audit Risk Factors

  • Inadequate documentation of the type of scoliosis
  • Failure to document the severity of the curvature
  • Lack of imaging studies to support the diagnosis
  • Improper linkage of diagnosis to treatment procedures

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed surgical notes, imaging results, and pre-operative assessments are essential.

Common Clinical Scenarios

Patients presenting for surgical correction of scoliosis or evaluation for bracing.

Billing Considerations

Ensure that the surgical approach and rationale for intervention are clearly documented.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional limitations and treatment plans.

Common Clinical Scenarios

Patients undergoing rehabilitation post-surgery or those being managed conservatively.

Billing Considerations

Documenting progress and response to therapy is crucial for ongoing management.

Coding Guidelines

Inclusion Criteria

Use M41.83 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the type and severity of scoliosis
  • Include any relevant imaging studies and treatment plans

Exclusion Criteria

Do NOT use M41.83 When
  • Exclude conditions that are not classified under this code

Related ICD-10 Codes

Related CPT Codes

22612CPT Code

Spinal fusion, cervical

Clinical Scenario

Used for surgical correction of cervicothoracic scoliosis.

Documentation Requirements

Operative report detailing the procedure and indications.

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 data collection and reimbursement processes. M41.83 provides a distinct code for other forms of scoliosis, enhancing the granularity of patient records.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of scoliosis types, improving the accuracy of data collection and reimbursement processes. M41.83 provides a distinct code for other forms of scoliosis, enhancing the granularity of patient records.

Reimbursement & Billing Impact

reimbursement processes. M41.83 provides a distinct code for other forms of scoliosis, enhancing the granularity of patient records.

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 M41.83 and M41.1?

M41.83 refers to other forms of scoliosis in the cervicothoracic region, while M41.1 specifically addresses idiopathic scoliosis, which is a more defined category.