Clonic hemifacial spasm, bilateral
ICD-10 G51.33 is a billable code used to indicate a diagnosis of clonic hemifacial spasm, bilateral.
Clonic hemifacial spasm is characterized by involuntary, intermittent contractions of the muscles on one side of the face, which can become bilateral over time. This condition is often associated with irritation or compression of the facial nerve (cranial nerve VII), typically due to vascular compression, tumors, or other structural anomalies. Patients may experience episodes of twitching or spasms that can be triggered by stress, fatigue, or specific facial movements. The bilateral aspect of this condition indicates that both sides of the face are affected, which can complicate the clinical picture and management. Diagnosis is primarily clinical, supported by imaging studies such as MRI to rule out structural causes. Treatment options may include botulinum toxin injections, which can provide symptomatic relief, or surgical interventions in more severe cases. Understanding the underlying pathophysiology, including the role of cranial nerve disorders and potential neuropathies, is crucial for effective management and coding.
Detailed neurological examination findings, imaging results, and treatment plans.
Patients presenting with facial spasms, history of facial nerve injury, or post-surgical complications.
Ensure clear documentation of the onset, duration, and frequency of spasms.
Assessment of facial nerve function, imaging studies, and surgical notes if applicable.
Patients with facial nerve compression due to tumors or vascular anomalies.
Document any surgical interventions or referrals for further management.
Used for treatment of hemifacial spasm.
Document the number of units injected and the specific muscles targeted.
Neurology and pain management specialists should ensure accurate coding of the procedure.
Common treatments include botulinum toxin injections, which can reduce muscle contractions, and surgical options for severe cases.
Hemifacial spasm involves involuntary muscle contractions, while facial nerve palsy typically presents with weakness or paralysis of facial muscles.
