Juvenile idiopathic scoliosis, cervicothoracic region

This code identifies a lateral curvature of the spine, specifically in the neck and upper back area, that develops before the age of 10 without an identifiable cause. It is a form of scoliosis that manifests during childhood or early adolescence, distinct from congenital or neuromuscular types.

Use this code for patients under 10 years old diagnosed with idiopathic scoliosis primarily affecting the cervical and/or thoracic spine segments. Documentation should clearly state "juvenile idiopathic scoliosis" and specify the cervicothoracic region as the primary site of curvature. Imaging reports (X-rays, MRI) confirming the spinal curvature and its location are essential.

• Differentiate from congenital scoliosis (Q67.5, Q76.3) or neuromuscular scoliosis (G80-G83 with M41.4-M41.5).
• Ensure the patient's age at diagnosis aligns with the "juvenile" classification (typically 3-9 years old).
• Verify the specific spinal region documented; this code is only for cervicothoracic involvement.