Primary lateral sclerosis
ICD-10 G12.23 is a billable code used to indicate a diagnosis of primary lateral sclerosis.
Primary lateral sclerosis (PLS) is a rare neurodegenerative disorder characterized by the progressive degeneration of upper motor neurons in the brain and spinal cord. This condition leads to muscle weakness, stiffness, and spasticity, primarily affecting voluntary movements. Patients may experience difficulty with walking, fine motor skills, and speech, as the disease progresses. Unlike amyotrophic lateral sclerosis (ALS), PLS does not typically involve lower motor neuron degeneration, which means that patients may retain some muscle strength and function for a longer period. The onset of PLS is usually gradual, with symptoms often beginning in the legs and then spreading to other parts of the body. Diagnosis is primarily clinical, based on the history of symptoms and neurological examination, often requiring exclusion of other motor neuron diseases and conditions such as multiple sclerosis or hereditary spastic paraplegia. Genetic factors may play a role in some cases, but PLS is generally considered sporadic rather than hereditary. Management focuses on symptomatic relief and supportive care, including physical therapy and medications to manage spasticity.
Detailed neurological examination findings, history of symptoms, and progression notes.
Patients presenting with spasticity, weakness, and gait disturbances.
Ensure clear documentation of upper motor neuron signs and exclusion of lower motor neuron involvement.
Functional assessments, treatment plans, and progress notes.
Rehabilitation needs for patients with mobility issues due to PLS.
Focus on documenting the impact of PLS on daily activities and rehabilitation goals.
Used for follow-up visits for patients with PLS to assess progression and management.
Detailed history, examination findings, and treatment plan.
Neurology specialists should document neurological assessments thoroughly.
The main symptoms include muscle weakness, spasticity, difficulty with coordination, and changes in speech. Symptoms typically begin in the legs and may progress to other areas of the body.
