Lordosis, unspecified, site unspecified

This code describes an abnormal, exaggerated inward curvature of the spine, commonly known as swayback, without specifying the exact location of the curvature or its underlying cause. It indicates a general diagnosis of lordosis where further detail is not documented or available.

Use this code when the medical record documents lordosis but does not specify the spinal region (e.g., cervical, thoracic, lumbar) affected. This code is appropriate when the provider's documentation simply states "lordosis" without additional anatomical detail.

• Avoid using this code if the specific spinal region of the lordosis is documented; instead, select a more specific code from the M40.5- subcategory.
• Query the provider for clarification on the site of lordosis if possible to allow for more precise coding.
• This code should be used when documentation is insufficient to assign a more specific lordosis code.