M40.04 Postural kyphosis, thoracic region

ICD10CM code

#### Name of the Condition
- Postural kyphosis, thoracic region
- Known as "roundback" or "hunchback" in layman's terms.

#### Summary
Postural kyphosis in the thoracic region is a curvature of the upper back caused primarily by poor posture. The condition presents as an exaggerated outward curve of the spine, leading to a rounded back appearance.

#### Causes
- Poor posture over time is the primary cause.
- Consistent slouching or leaning forward, especially in adolescents.

#### Risk Factors
- Adolescence and youth; as posture habits form during these years.
- Sedentary lifestyle or lack of exercise.
- Extended use of computers or smartphones.

#### Symptoms
- Rounded or hunched upper back.
- Mild back pain due to the curvature.
- Fatigue from muscle strain in the back and shoulders.

#### Diagnosis
- Physical examination is the first step, where a doctor assesses curvature.
- Spinal X-ray may be used to measure the degree of kyphosis.

#### Treatment Options
- Posture correction exercises to strengthen back muscles.
- Physical therapy to build core and back strength.
- In severe cases, braces may be recommended.

#### Prognosis and Follow-Up
- Generally has a good prognosis with treatment.
- Regular follow-up to monitor posture and spine curvature stability.

#### Complications
- Untreated, it may lead to chronic pain or more severe spinal issues later in life.

#### Lifestyle & Prevention
- Regular exercise focusing on posture and strengthening.
- Ergonomic furniture to promote good posture while sitting.
- Being mindful of posture through posture-correcting devices or reminders.

#### When to Seek Professional Help
- Persistent back pain.
- Noticeable spine curvature.
- If posture cannot be improved through self-care.

#### Additional Resources
- [Scoliosis Research Society](https://www.srs.org/)
- [American Association of Neuromuscular & Electrodiagnostic Medicine](https://www.aanem.org/)

#### Tips for Medical Coders
- Ensure specificity by noting the thoracic region is affected.
- Double-check for associated conditions such as scoliosis which may alter coding.
- Avoid confusion with structural kyphosis codes which have different treatment paths and etiology.

Similar Codes