2025 ICD-10-CM code M41.0
(Active) Effective Date: N/A Revision Date: N/A Musculoskeletal - Deforming dorsopathies Diseases of the musculoskeletal system and connective tissue (M00-M99) Feed
Infantile idiopathic scoliosis is a sideways curvature of the spine developing before age 3, typically with an S or C shape.
Modifiers are not typically used with ICD-10-CM codes.
Medical necessity for treatment is determined by the severity of the curvature, its rate of progression, and the potential impact on lung function and overall health.A curve exceeding certain thresholds typically warrants intervention to prevent further progression and potentially avoid severe deformities that may affect respiratory function or other organ systems.
The clinical responsibility includes obtaining a complete patient history, performing a thorough physical examination, ordering and interpreting imaging studies (X-rays, MRI), determining the severity and progression of the scoliosis, and selecting the appropriate treatment plan (observation, bracing, surgery). This may involve collaboration with specialists in orthopedics, radiology, and potentially neurosurgery.
- Diseases of the musculoskeletal system and connective tissue (M00-M99)
- Dorsopathies (M40-M54); Deforming dorsopathies (M40-M43)
In simple words: Infantile scoliosis is a sideways curve in a child's spine that develops before age 3. Doctors don't know exactly what causes it, but it sometimes looks like an S or a C.It might need monitoring, a brace, or in rare cases, surgery.
Infantile idiopathic scoliosis is a lateral curvature of the spine occurring in children under 3 years of age.The curvature is idiopathic, meaning the cause is unknown. It often presents as an S or C-shaped curve, sometimes with spinal rotation.Diagnosis involves patient history (including family history of scoliosis), physical examination (potentially including scoliometer screening), and imaging studies like X-rays and MRI to assess the curve's severity and rule out other conditions. Treatment depends on the curve's severity and progression and may range from observation to bracing and, in rare cases, surgery.
Example 1: A 6-month-old infant presents with asymmetry of the shoulders and hips. Physical exam reveals a 20-degree left thoracic curve. X-rays confirm the diagnosis of infantile idiopathic scoliosis. The physician recommends close observation and follow-up appointments for monitoring., A 2-year-old child has a progressively worsening right thoracic curve of 40 degrees, initially noticed at 9 months.Conservative management (bracing) is initiated.Regular monitoring via X-rays is performed to evaluate the effectiveness of bracing and to check for progression., A 1-year-old presents with severe scoliosis (60-degree curve) causing respiratory compromise. Surgical intervention is considered after ruling out other causes. Post-operative care would involve bracing, physiotherapy, and frequent monitoring.
Detailed patient history including family history of scoliosis; Physical examination findings, including measurements of spinal curvature (scoliometer readings); Radiological imaging reports (X-rays, MRI); Treatment plan documentation (observation, bracing, surgical notes); Progress notes documenting the curve's progression or resolution; Any associated complications or comorbidities.
** Infantile idiopathic scoliosis is relatively rare compared to other forms of scoliosis.The prognosis varies widely depending on the severity and progression of the curvature. Close monitoring is crucial for early detection and timely intervention.This information is for guidance only and should not replace professional medical advice.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10-CM codes.
- Specialties:Orthopedics, Pediatric Orthopedics, Neurosurgery
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center