Melkersson's syndrome
ICD-10 G51.2 is a billable code used to indicate a diagnosis of melkersson's syndrome.
Melkersson's syndrome is a rare neurological disorder characterized by recurrent episodes of facial swelling, often accompanied by facial paralysis and cheilitis granulomatosa. The condition primarily affects the facial nerve (cranial nerve VII) and can lead to significant morbidity due to its recurrent nature. Patients may experience episodes of swelling of the lips, cheeks, and eyelids, which can be painful and disfiguring. The etiology of Melkersson's syndrome remains unclear, but it is thought to involve an autoimmune component or a genetic predisposition. Diagnosis is typically clinical, supported by imaging studies to rule out other causes of facial swelling and nerve involvement. Treatment options are limited and may include corticosteroids to reduce inflammation and swelling, as well as symptomatic management for facial paralysis. Due to its complex presentation and the involvement of cranial nerves, accurate coding is essential for proper management and reimbursement.
Detailed neurological examination findings, including cranial nerve assessments and imaging results.
Patients presenting with recurrent facial swelling and neurological deficits.
Neurologists should document the frequency and duration of episodes, as well as any associated symptoms.
Clinical notes on skin manifestations, including descriptions of cheilitis granulomatosa.
Patients with facial swelling and granulomatous lesions on the lips.
Dermatologists should note any treatments provided for skin symptoms and their effectiveness.
Used to assess the function of the facial nerve in patients with suspected Melkersson's syndrome.
Document the rationale for nerve conduction studies and findings.
Neurologists should ensure that the studies are interpreted in the context of the patient's clinical presentation.
Key symptoms include recurrent facial swelling, facial paralysis, and cheilitis granulomatosa. Patients may experience episodes of swelling that can be painful and disfiguring.
Diagnosis is primarily clinical, based on the history of recurrent facial swelling and associated symptoms. Imaging studies may be used to rule out other conditions.
