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M41 ICD-10-CM Code: Scoliosis

M41 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · free HCC coding tools

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FY 2026 Apr update / Diseases of the musculoskeletal system and connective tissue (M00-M99) / Deforming dorsopathies (M40-M43)

M41

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Scoliosis

Scoliosis

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
M4Deforming dorsopathies (M40-M43)
M41Scoliosis

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for M41 in this effective period.

Excludes 2

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

Related Child Codes

Official
M41.0Infantile idiopathic scoliosis
M41.1Juvenile and adolescent idiopathic scoliosis
M41.2Other idiopathic scoliosis
M41.3Thoracogenic scoliosis
M41.4Neuromuscular scoliosis

Includes

Official
  • kyphoscoliosis

Excludes 1

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

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for M41 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for M41 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for M41 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
M41
Description
Scoliosis
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

M41 is the ICD-10-CM diagnosis code for scoliosis. M41 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering deforming dorsopathies (m40-m43).

Header codes like M41 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at M41's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M41 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • kyphoscoliosis

Excludes 1, Do NOT code together

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

Excludes 2, Not included here, may code separately

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

Child Codes

Code Hierarchy

M41Scoliosis
M41Scoliosis

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