Juvenile osteochondrosis of spine, thoracolumbar region

This code signifies a developmental disorder affecting the growth plates (epiphyses) of the vertebrae in the thoracic and lumbar spine in pediatric and adolescent patients. It involves abnormal ossification, leading to vertebral body wedging, irregular endplates, and kyphosis, commonly known as Scheuermann's disease when affecting multiple vertebrae.

Apply this code for documented cases of osteochondrosis specifically localized to the thoracolumbar spinal region in juvenile patients. Documentation should clearly indicate the diagnosis of juvenile osteochondrosis or Scheuermann's disease affecting the thoracic and/or lumbar spine, often supported by imaging findings such as vertebral wedging or Schmorl's nodes.

• Ensure the patient's age aligns with a juvenile presentation; adult osteochondrosis would be coded differently.
• Confirm the specific spinal region (thoracolumbar) is documented; other spinal regions have distinct codes.
• Do not confuse with congenital spinal deformities or acquired degenerative conditions.