Neuromuscular scoliosis, lumbosacral region

This code signifies a spinal curvature in the lumbosacral region that is secondary to a neuromuscular condition. This type of scoliosis is not idiopathic but rather a manifestation of an underlying neurological or muscular disorder affecting spinal stability and control.

Use this code when documentation clearly states scoliosis in the lumbosacral spine is directly attributed to a neuromuscular disease, such as cerebral palsy, muscular dystrophy, or spinal muscular atrophy. The physician's notes should explicitly link the scoliosis to the primary neuromuscular diagnosis.

• Always sequence the underlying neuromuscular condition first, as it is the etiology of the scoliosis.
• Do not use this code for idiopathic scoliosis or scoliosis due to congenital anomalies.
• Ensure the documentation specifies the lumbosacral region; other M41.4 subcategories exist for different spinal regions.