M41.54
M41.54: Other secondary scoliosis, thoracic region
Billable / specific codeICD-10-CM
M41.54 is a billable, specific ICD-10-CM code for other secondary scoliosis, thoracic region. It is valid for submission on a claim.
Check M41.54 with the rest of the claim: free scrubberExcludes1 inherited from the categories above M41.54
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above M41.54
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with M41.54
Their own Excludes1 notes name this code, so the conflict is not listed above.
- M40Kyphosis and lordosis
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M41.54 is named in 16 Medicare coverage policies: 9 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- 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
Alphabetic index entries that lead here
- Scoliosis›secondary NEC›thoracic region
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M41.5
- M41.50Other secondary scoliosis, site unspecified
- M41.52Other secondary scoliosis, cervical region
- M41.53Other secondary scoliosis, cervicothoracic region
- M41.55Other secondary scoliosis, thoracolumbar region
- M41.56Other secondary scoliosis, lumbar region
- M41.57Other secondary scoliosis, lumbosacral region