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v1.0.0
ICD-10 Guide
ICD-10 CodesG93.5

G93.5

Billable

Compression of brain

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G93.5 is a billable code used to indicate a diagnosis of compression of brain.

Key Diagnostic Point:

Compression of the brain refers to the condition where the brain tissue is subjected to increased pressure due to various factors such as tumors, hematomas, or cerebral edema. This condition can lead to a range of neurological deficits and symptoms, including headaches, altered consciousness, and focal neurological signs. The compression can disrupt normal brain function, leading to pain syndromes, autonomic disorders, and hydrocephalus. Pain syndromes may manifest as chronic headaches or migraines due to increased intracranial pressure. Autonomic disorders can arise from the brain's inability to regulate bodily functions, leading to symptoms such as abnormal heart rates or blood pressure fluctuations. Hydrocephalus, characterized by an accumulation of cerebrospinal fluid, can occur as a result of obstruction in the ventricular system due to compression. Other nervous system disorders may include seizures, cognitive impairments, and motor dysfunctions. Accurate diagnosis and management are crucial, as untreated compression can lead to irreversible brain damage or death.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variety of underlying causes (tumors, hematomas, etc.)
  • Potential for multiple co-existing conditions
  • Need for detailed documentation of symptoms and diagnostic tests
  • Variability in treatment approaches and outcomes

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to specify the cause of compression
  • Misuse of related codes leading to upcoding or downcoding
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with headaches, seizures, or cognitive changes due to brain compression.

Billing Considerations

Ensure all neurological deficits are documented, and specify the cause of compression.

Neurosurgery

Documentation Requirements

Surgical notes, pre-operative and post-operative assessments, and imaging studies.

Common Clinical Scenarios

Patients undergoing surgical intervention for brain tumors or hematomas causing compression.

Billing Considerations

Document the surgical approach and any complications that arise during the procedure.

Coding Guidelines

Inclusion Criteria

Use G93.5 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the cause of compression and any associated symptoms
  • Include relevant imaging studies and clinical findings to support the diagnosis

Exclusion Criteria

Do NOT use G93.5 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

61510CPT Code

Craniotomy, for excision of brain tumor

Clinical Scenario

Used when a patient undergoes surgery for a tumor causing brain compression.

Documentation Requirements

Surgical notes, pre-operative imaging, and post-operative assessments.

Specialty Considerations

Neurosurgeons must document the extent of the tumor and any complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like brain compression, improving the accuracy of diagnoses and treatment tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like brain compression, improving the accuracy of diagnoses and treatment tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like brain compression, improving the accuracy of diagnoses and treatment tracking.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common causes of brain compression?

Common causes include brain tumors, hematomas, abscesses, and cerebral edema. Each cause may present with different symptoms and require specific diagnostic approaches.