In simple words: This code is for a special pad added to a back brace (TLSO) used for scoliosis. It helps straighten the spine by putting pressure on the chest, ribs, and hips.

This code reports an anterior thoracic derotation pad as an addition to a thoracic lumbar sacral orthosis (TLSO), or scoliosis orthosis. This orthosis helps support or correct spinal alignment. The anterior thoracic derotation pad fits into the TLSO at the front of the chest. Thoracic rotation refers to how much the patient’s thoracic spine bends to the side in scoliosis. Providers determine the severity of scoliosis by evaluating the extent of thoracic rotation and the rotation angle of the lumbar area. The derotation pad applies pressure on the thoracic spine, outer pelvis, and rib cage to straighten the bent spine.

Example 1: A 14-year-old patient with moderate scoliosis and significant thoracic rotation is fitted with a TLSO and requires an anterior thoracic derotation pad for optimal correction., A patient with kyphoscoliosis requires an anterior thoracic derotation pad in addition to their TLSO to address the combined curvature and rotational deformity of the spine., Following surgical correction of scoliosis, a patient is prescribed a TLSO with an anterior thoracic derotation pad to maintain spinal alignment during the healing process.

Documentation should include the diagnosis of scoliosis or kyphoscoliosis, the degree of curvature and rotation, the medical necessity for the TLSO and the anterior thoracic derotation pad, and the expected treatment plan.