Is M41.117 a billable ICD-10-CM code?

Yes. M41.117 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does M41.117 sit in the tabular list?

Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Deforming dorsopathies (M40-M43).

What cannot be coded together with M41.117?

M41.117 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above M41.117 (M41) and apply to it just the same.

M41.117

M41.117 — Juvenile idiopathic scoliosis, lumbosacral region

Billable / specific codeICD-10-CM

M41.117 is a billable, specific ICD-10-CM code for juvenile idiopathic scoliosis, lumbosacral region. It is valid for submission on a claim.

Excludes1 inherited from the categories above M41.117

These are not written on M41.117, but they bind it: a note on a category applies to every code beneath it. Billing M41.117 with anything listed here is a denial.

Written on M41 — Scoliosis

congenital scoliosis NOS (Q67.5)
congenital scoliosis due to bony malformation (Q76.3)
postural congenital scoliosis (Q67.5)
kyphoscoliotic heart disease (I27.1)

Excludes2 inherited from the categories above M41.117

Also inherited, and the opposite of Excludes1: these conditions are not part of M41.117, but a patient can have both, so you may code both.

Written on M41 — Scoliosis

postprocedural scoliosis (M96.89)
postradiation scoliosis (M96.5)

Other codes that can never be billed with M41.117

These codes carry an Excludes1 note pointing at M41.117. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M41.117 alone.

M40Kyphosis and lordosis

Risk adjustment

M41.117 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

M41.117 is named in 19 Medicare coverage policies — 12 listing it as supporting medical necessity, and 7 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
A58883Billing 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

How M41.117 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 M41.117.

Scoliosis›idiopathic›juvenile›lumbosacral region

Code history

M41.117 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share M41.11. If M41.117 is not quite right, the correct code is usually one of these.

Questions about M41.117

Is M41.117 a billable ICD-10-CM code?: Yes. M41.117 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does M41.117 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Deforming dorsopathies (M40-M43).
What cannot be coded together with M41.117?: M41.117 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above M41.117 (M41) and apply to it just the same.