Find information on lumbar scoliosis diagnosis, including clinical documentation, ICD-10 codes (M41), medical coding guidelines, and healthcare resources. Learn about lumbar spine curvature, scoliosis treatment, and best practices for accurate diagnostic coding and documentation for medical professionals. Explore resources for lumbar scoliosis management, patient care, and medical billing related to this spinal deformity.
Also known as
Scoliosis
Abnormal lateral curvature of the spine.
Pain in thoracic spine
Pain localized to the thoracic region of the back.
Pain in lumbar spine
Pain localized to the lumbar region of the back.
Low back pain
Pain in the lower part of the back.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the lumbar scoliosis idiopathic?
Yes
Adolescent idiopathic?
No
Is it neuromuscular?
When to use each related code
Description |
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Sideways curve of spine in lower back |
Sideways curve of spine in chest area |
Sideways curve of spine, whole back |
Incorrect coding for right or left curve convexity impacting reimbursement and data accuracy. Keywords: Scoliosis, Laterality, Medical Coding, ICD-10, CDI, Healthcare Compliance
Inaccurate Cobb angle documentation leading to undercoding or overcoding of curve severity. Keywords: Scoliosis, Cobb Angle, Medical Coding, ICD-10, CDI, Healthcare Compliance
Failure to specify primary and secondary curves, impacting surgical planning and resource allocation. Keywords: Scoliosis, Curve Type, Medical Coding, ICD-10, CDI, Healthcare Compliance
Patient presents with complaints consistent with lumbar scoliosis. Onset of symptoms reported as [Onset - e.g., gradual, sudden, specific date if known]. Patient reports [Symptoms - e.g., low back pain, radiating pain, stiffness, muscle spasms, numbness, tingling, functional limitations]. Pain is characterized as [Pain characteristics - e.g., sharp, dull, aching, throbbing, constant, intermittent] and rated [Pain scale rating - e.g., X/10 on the visual analog scale]. Physical examination reveals [Physical exam findings - e.g., asymmetry of shoulder height, waistline, rib cage, pelvic tilt, prominent scapula, spinal curvature deviation to the leftright, positive Adams forward bend test]. Range of motion in the lumbar spine is [Range of motion description - e.g., reduced, limited in flexionextensionlateral flexion, with pain on movement]. Neurological examination reveals [Neurological findings - e.g., intact reflexes, normal muscle strength, no sensory deficits, or specify any deficits if present]. Cobb angle measured at [Cobb angle measurement - e.g., X degrees] on radiographic imaging [Radiographic imaging type - e.g., standing AP and lateral lumbar spine X-ray]. Assessment: Lumbar scoliosis, [Curve type - e.g., dextroscoliosis, levoscoliosis], likely [Etiology if known - e.g., idiopathic, degenerative, neuromuscular]. Differential diagnosis includes [Differential diagnoses - e.g., postural abnormalities, leg length discrepancy, other spinal deformities]. Plan: [Treatment plan - e.g., Conservative management including physical therapy for core strengthening, stretching, and pain management; referral to orthopedics or spine specialist; bracing if indicated; serial radiographic monitoring; surgical intervention considered if conservative treatment fails; patient education on scoliosis management and prognosis]. Follow-up scheduled in [Follow-up duration - e.g., four weeks] to assess treatment response and discuss further management. ICD-10 code: [ICD-10 code - e.g., M41.XX], CPT codes for evaluation and management: [CPT codes - e.g., 9920X].