M41.115 — Juvenile idiopathic scoliosis, thoracolumbar region
M41.115 is a billable, specific ICD-10-CM code for juvenile idiopathic scoliosis, thoracolumbar region. It is valid for submission on a claim.
Risk adjustment
M41.115 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
M41.115 is named in 18 Medicare coverage policies — 12 listing it as supporting medical necessity, and 6 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59434Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
How M41.115 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to M41.115.
- Scoliosis›idiopathic›juvenile›thoracolumbar region
Related codes at this level
Codes that share M41.11. If M41.115 is not quite right, the correct code is usually one of these.
- M41.112Juvenile idiopathic scoliosis, cervical region
- M41.113Juvenile idiopathic scoliosis, cervicothoracic region
- M41.114Juvenile idiopathic scoliosis, thoracic region
- M41.116Juvenile idiopathic scoliosis, lumbar region
- M41.117Juvenile idiopathic scoliosis, lumbosacral region
- M41.119Juvenile idiopathic scoliosis, site unspecified
Questions about M41.115
- Is M41.115 a billable ICD-10-CM code?
- Yes. M41.115 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M41.115 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Deforming dorsopathies (M40-M43).