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ICD-10 Guide
ICD-10 CodesM41.84

M41.84

Billable

Other forms of scoliosis, thoracic region

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

Code Description

ICD-10 M41.84 is a billable code used to indicate a diagnosis of other forms of scoliosis, thoracic region.

Key Diagnostic Point:

M41.84 refers to other forms of scoliosis specifically affecting the thoracic 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 thoracic region, this curvature can lead to significant postural changes, respiratory issues, and discomfort. The thoracic spine consists of 12 vertebrae, and scoliosis in this area can impact the rib cage and lung function. Patients may present with asymmetry in shoulder height, rib prominence, and back pain. Diagnosis typically involves physical examination and imaging studies such as X-rays or MRI to assess the degree of curvature and any associated spinal deformities. Treatment options vary based on the severity of the curvature and may include observation, bracing, or surgical interventions such as spinal fusion to correct the deformity and stabilize the spine. Understanding the specific type of scoliosis and its implications is crucial for effective management and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of scoliosis types complicating diagnosis
  • Need for precise documentation of curvature degree
  • Differentiation from other spinal deformities
  • Potential for co-existing conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of curvature measurements
  • Failure to specify the type of scoliosis
  • Misclassification of scoliosis type
  • Lack of supporting imaging studies

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on curvature measurements, physical examination findings, and treatment plans.

Common Clinical Scenarios

Patients presenting with back pain, postural abnormalities, or respiratory issues due to thoracic scoliosis.

Billing Considerations

Ensure accurate documentation of the type of scoliosis and any associated conditions.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments, treatment goals, and progress notes related to scoliosis management.

Common Clinical Scenarios

Patients undergoing rehabilitation for scoliosis-related pain or post-surgical recovery.

Billing Considerations

Document the impact of scoliosis on daily activities and quality of life.

Coding Guidelines

Inclusion Criteria

Use M41.84 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the type of scoliosis and its effects
  • Include imaging results and treatment plans to support the diagnosis

Exclusion Criteria

Do NOT use M41.84 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22612CPT Code

Spinal fusion, posterior technique

Clinical Scenario

Used for surgical correction of severe scoliosis.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Orthopedic surgeons must document the specific type of scoliosis and pre-operative assessments.

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. M41.84 provides a distinct code for other forms of thoracic scoliosis, enhancing clarity in 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. M41.84 provides a distinct code for other forms of thoracic scoliosis, enhancing clarity in patient records.

Reimbursement & Billing Impact

reimbursement processes. M41.84 provides a distinct code for other forms of thoracic scoliosis, enhancing clarity in patient records.

Resources

Clinical References

  • •
    American Academy of Orthopaedic Surgeons

Coding & Billing References

  • •
    American Academy of Orthopaedic Surgeons

Frequently Asked Questions

What is the difference between M41.84 and M41.1?

M41.84 refers to other forms of scoliosis affecting the thoracic region, while M41.1 specifically denotes idiopathic scoliosis, which has a known cause and presentation.