M41.05

Infantile idiopathic scoliosis, thoracolumbar region

FY2027Chapter 13: Diseases of the musculoskeletal system and connective tissue/M40–M43 Deforming dorsopathies

BillableComplete code, valid to report

M41.05 (also written M4105) is a billable ICD-10-CM diagnosis code for infantile idiopathic scoliosis, thoracolumbar region. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 55 codes in category M41 (Scoliosis). The Alphabetic Index lists it under 1 entry. Its coding notes include 4 Excludes1 entries and 12 Excludes2 entries.

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from 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

Not included here. Both codes may be reported if the patient has both conditions.

Inherited from M41 Scoliosis
  • postprocedural scoliosis (M96.89)
  • postradiation scoliosis (M96.5)
Also from chapter/block level (10 notes)
Inherited from Chapter 13 Diseases of the musculoskeletal system and connective tissue
  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the Musculoskeletal Rehabilitation clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Includes

Further defines or gives examples of the content of the category.

Inherited from M41 Scoliosis
  • kyphoscoliosis

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 13 Diseases of the musculoskeletal system and connective tissue
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 1 entry