ICD-10-CM · Spine

M41.27

M41.27 classifies idiopathic scoliosis of the lumbosacral region that does not fit the defined subtypes of infantile, juvenile, or adolescent idiopathic scoliosis — specifically when the curve apex or primary structural involvement is at the lumbosacral junction (L4–S1 segment).

Verified May 8, 2026 · 5 sources ↓

Status
Billable
Chapter
13
Related CPT
12
Region
Spine
Drawn from CDCICD10DataAAPCCMSClear-institute

Documentation tips

What should appear in the chart to support M41.27.

Source · Editorial brief grounded in 5 cited references ↓

  • Document the age at which scoliosis was first diagnosed — not the patient's current age — to justify 'other idiopathic' vs. adolescent idiopathic classification.
  • Specify lumbosacral region by name or describe the curve apex at the L5–S1 level; 'lumbar' alone routes to M41.26, not M41.27.
  • Record Cobb angle measured on full-length standing PA radiograph; include the end vertebrae used for measurement to support medical necessity for bracing, PT, or surgical workup.
  • Document curve direction (dextroscoliosis or levoscoliosis) and any associated rotation, even though these descriptors don't change the ICD-10 code — payers and prior auth reviewers require them.
  • If post-operative, add Z98.1 (arthrodesis status) alongside M41.27 to reflect prior fusion and support DRG assignment under MS-DRG 456–458.
  • When multiple curves are present, identify the primary structural curve and secondary compensatory curve separately; code each region involved.

Related CPT procedures

Procedure codes commonly billed with M41.27. Linking the right diagnosis to the right procedure is what establishes medical necessity.

Source · CMS LCDs · AAOS specialty guidance · claims-pattern analysis

72100 $40.42
Radiologic examination of the lumbosacral spine capturing two or three views, used to evaluate the lumbar vertebrae and sacrum for injury, degeneration, or structural abnormality.
72110 $53.44
Radiologic examination of the lumbar spine (lumbosacral) with a minimum of four views, including oblique and/or bending views.
72114 $61.79
Radiologic examination of the lumbosacral spine, complete series with bending (flexion/extension) views — minimum of 6 views total.
72120 $42.09
Radiologic examination of the lumbosacral spine using bending views only, minimum of four views, to assess spinal flexibility and alignment.
27580 $1,354.74
Surgical arthrodesis of the knee joint, fusing the femur and tibia using any technique to eliminate motion at the joint.
22800 $1,312.99
Posterior spinal arthrodesis for deformity correction spanning up to 6 vertebral segments, with or without application of a body cast.
22802 $1,936.25
Posterior spinal arthrodesis for deformity correction spanning 7 to 12 vertebral segments, with or without body cast application.
22804 $2,222.50
Posterior spinal arthrodesis for deformity correction spanning 13 or more vertebral segments, performed with or without application of a body cast.
22612 $1,467.64
Posterior or posterolateral lumbar arthrodesis of a single interspace, performed via a posterior approach with bone graft and typically pedicle screw fixation to achieve vertebral segment fusion.
22614 $349.37
Add-on code for each additional interspace treated by posterior or posterolateral arthrodesis beyond the first level billed with a primary fusion code.
97110 $29.06
Therapeutic exercise billed per 15-minute unit, targeting strength, endurance, range of motion, or flexibility with direct one-on-one patient contact.
97530 View procedure details

Common coding pitfalls

The recurring mistakes coders make with M41.27 and adjacent codes.

Source · Editorial brief grounded in CDC ICD-10-CM tabular guidance, AAOS coding references, and cited references ↓

  • Using M41.27 for a patient whose scoliosis was diagnosed in adolescence — that maps to M41.17 (adolescent idiopathic scoliosis, lumbosacral region), not M41.27, regardless of the patient's current age.
  • Conflating 'lumbar' and 'lumbosacral' — M41.26 covers the lumbar region; M41.27 is strictly for curves centered at the lumbosacral junction. Using M41.26 when documentation clearly states lumbosacral will undercode specificity.
  • Defaulting to M41.27 for degenerative or de novo adult scoliosis with an identified secondary cause — if a cause is documented (e.g., disc degeneration, leg length discrepancy, neuromuscular disease), a secondary scoliosis code (M41.5x, M41.4x) or M41.87 may be more accurate.
  • Failing to code all involved spinal regions for multi-curve presentations — ICD-10-CM allows and expects multiple codes when curves span more than one region.
  • Assigning M41.9 (scoliosis, unspecified) when the provider has documented region and idiopathic etiology — M41.27 is available and required for specificity.

Clinical context

Source · Editorial summary grounded in 5 cited references ↓

Use M41.27 when the provider documents idiopathic scoliosis with primary involvement of the lumbosacral region and the etiology is unknown but does not fall under the age-defined adolescent idiopathic scoliosis category (M41.17) or infantile/juvenile subtypes. The 'other idiopathic' designation under M41.2 typically captures adult-onset idiopathic scoliosis or cases where the age at diagnosis was not recorded during a defined developmental window.

The lumbosacral region specificity (7th character logic aside — the 6th character '7' here encodes the region) is critical: if the curve apex is in the lumbar spine proper, use M41.26 instead. M41.27 is reserved for curves centered at or across the L5–S1 level. For multi-region curves, assign codes for each involved region per official ICD-10-CM guidance, leading with the primary structural curve.

Note that scoliosis classification in ICD-10-CM is based on age at diagnosis, not age at presentation. A 55-year-old presenting with a curve first diagnosed in adolescence codes to the adolescent idiopathic category (M41.17 for lumbosacral). M41.27 applies when the idiopathic curve was first identified in adulthood or when the onset timing is undocumented and the presentation does not align with a developmental subtype. If the scoliosis is secondary to a neuromuscular disorder, degenerative process, or trauma, do not use M41.27 — use the appropriate M41.4x, M41.5x, or M41.8x code.

Sibling codes

Other billable codes under M41.2 (laterality / anatomic variants).

Frequently asked questions

Source · Generated from the editorial pipeline, verified against 5 cited references ↓

01What is the difference between M41.26 and M41.27?
M41.26 is other idiopathic scoliosis of the lumbar region; M41.27 is specifically for the lumbosacral region (L5–S1 junction). The curve apex location in the provider's note determines which code applies — 'lumbar' alone maps to M41.26.
02Can I use M41.27 for an adult patient whose scoliosis was first diagnosed in their teens?
No. ICD-10-CM classifies scoliosis by age at first diagnosis. If the curve was first identified during adolescence, use M41.17 (adolescent idiopathic scoliosis, lumbosacral region) regardless of the patient's current age.
03When does 'other idiopathic' apply versus adolescent idiopathic scoliosis at the lumbosacral level?
M41.27 (other idiopathic) applies when the scoliosis was first diagnosed in adulthood or the age at diagnosis is undocumented and does not meet criteria for the infantile (M41.07), juvenile (M41.17 per juvenile subtype), or adolescent (M41.17) designations. If onset is unclear, query the provider before defaulting to M41.27.
04Should I code M41.27 for degenerative adult scoliosis presenting at the lumbosacral level?
Not if a secondary cause is documented. Degenerative or secondary scoliosis with an identified etiology maps to M41.57 (other secondary scoliosis, lumbosacral) or M41.47 (neuromuscular, lumbosacral). Reserve M41.27 for genuinely idiopathic cases where no causative condition is documented.
05What DRGs are associated with M41.27?
MS-DRG v43.0 groups M41.27 into DRGs 456–458 (spinal fusion with spinal curvature, with/without CC/MCC) when paired with fusion procedures, and into DRGs 551–552 (medical back problems with/without MCC) for non-surgical encounters.
06Do I need a 7th character for M41.27?
No. M-codes in the musculoskeletal chapter (Chapter 13) do not use 7th-character extensions. M41.27 is complete as a 5-character code. Seventh-character extensions (A, D, S) apply to injury codes in the S-code ranges, not to dorsopathy codes.
07If a patient has both a thoracic and a lumbosacral curve, should I use one code or two?
Use two codes — one for each region's primary structural curve. For example, M41.24 (other idiopathic, thoracic) plus M41.27 (other idiopathic, lumbosacral). Sequence the primary structural curve first per ICD-10-CM official guidelines.

Mira AI Scribe

The Mira AI Scribe captures the age at first diagnosis, curve apex location (lumbosacral junction vs. lumbar proper), Cobb angle with end vertebrae, curve direction, Risser grade if applicable, and any prior treatment or surgical history. This prevents defaulting to M41.26 (lumbar) or M41.9 (unspecified) when lumbosacral-specific documentation exists, and ensures the encounter record supports DRG assignment and payer medical necessity review.

See how Mira captures M41.27 documentation

Related ICD-10 codes

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