Postural kyphosis, thoracolumbar region

This code signifies an abnormal, exaggerated posterior curvature of the spine specifically affecting the thoracic and lumbar regions, which is primarily due to poor posture rather than structural vertebral anomalies. It represents a non-fixed, often reducible kyphosis that can be influenced by changes in body position.

Apply this code when documentation clearly indicates a kyphotic deformity of the thoracolumbar spine attributed to postural factors. This diagnosis is supported by physical examination findings showing a flexible curve that straightens with active correction or lying supine, and imaging (if performed) that does not reveal congenital or acquired vertebral structural defects.

• Differentiate carefully from structural kyphosis (e.g., Scheuermann's kyphosis or congenital kyphosis), which would require a different code.
• Ensure documentation specifies "postural" and the "thoracolumbar region" to support this specific code.
• Avoid using this code if the kyphosis is secondary to another condition, such as osteoporosis or vertebral fracture; code the underlying cause first.