Chronic meningitis
ICD-10 G03.1 is a billable code used to indicate a diagnosis of chronic meningitis.
Chronic meningitis is a persistent inflammation of the protective membranes covering the brain and spinal cord, known as the meninges. This condition is characterized by a gradual onset of symptoms that can last for weeks to months. Common causes include infections by organisms such as Mycobacterium tuberculosis, fungi, and certain viruses. Patients may present with symptoms such as headache, fever, neck stiffness, and altered mental status. Diagnosis typically involves lumbar puncture to analyze cerebrospinal fluid (CSF), which may show elevated white blood cell counts, protein levels, and decreased glucose levels, depending on the causative agent. Chronic meningitis can lead to significant neurological complications if not treated promptly, including cognitive deficits, seizures, and even death. Treatment often requires prolonged courses of antibiotics or antifungal medications, depending on the underlying cause. The management of chronic meningitis necessitates a multidisciplinary approach, involving neurologists, infectious disease specialists, and sometimes neurosurgeons, especially in cases where complications such as abscess formation occur.
Detailed neurological examination findings, CSF analysis results, and treatment plans.
Patients presenting with persistent headaches, cognitive changes, or neurological deficits.
Documentation must clearly indicate the chronic nature of symptoms and any diagnostic imaging or laboratory tests performed.
Identification of the infectious agent, treatment regimens, and response to therapy.
Patients with known immunocompromised states presenting with chronic neurological symptoms.
Must document the specific pathogen and any relevant travel history or exposure risks.
Used to obtain CSF for analysis in suspected cases of chronic meningitis.
Document indication for the procedure, CSF findings, and any complications.
Neurologists must ensure that the procedure is justified based on clinical findings.
Chronic meningitis can be caused by various infectious agents, including Mycobacterium tuberculosis, fungi such as Cryptococcus, and certain viruses. It may also occur due to non-infectious causes like autoimmune diseases.
