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v1.0.0
ICD-10 Guide
ICD-10 CodesG91.0

G91.0

Billable

Communicating hydrocephalus

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

Code Description

ICD-10 G91.0 is a billable code used to indicate a diagnosis of communicating hydrocephalus.

Key Diagnostic Point:

Communicating hydrocephalus is a condition characterized by an accumulation of cerebrospinal fluid (CSF) in the brain's ventricles due to impaired absorption rather than obstruction. This condition can arise from various causes, including infections, hemorrhages, or inflammatory processes that affect the arachnoid villi, which are responsible for CSF absorption. Patients may present with symptoms such as headaches, nausea, vomiting, cognitive dysfunction, and gait disturbances. The diagnosis is typically confirmed through neuroimaging techniques like MRI or CT scans, which reveal ventricular enlargement without obstruction of the CSF pathways. Treatment often involves the placement of a shunt to facilitate CSF drainage and alleviate symptoms. Understanding the underlying causes and the clinical presentation is crucial for effective management and coding of this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to the condition
  • Potential for overlapping symptoms with other neurological disorders
  • Need for precise documentation of imaging findings
  • Variability in treatment approaches and follow-up care

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to specify the underlying cause of hydrocephalus
  • Misclassification with obstructive hydrocephalus codes
  • Lack of follow-up documentation post-treatment

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with headaches, cognitive decline, or gait disturbances.

Billing Considerations

Ensure clear documentation of the patient's history and any prior interventions.

Neurosurgery

Documentation Requirements

Surgical notes, post-operative care details, and follow-up assessments.

Common Clinical Scenarios

Patients undergoing shunt placement or revision.

Billing Considerations

Document the rationale for surgical intervention and any complications.

Coding Guidelines

Inclusion Criteria

Use G91.0 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's etiology and clinical manifestations
  • Include any relevant imaging studies and treatment plans

Exclusion Criteria

Do NOT use G91.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

62230CPT Code

Insertion of a ventricular shunt

Clinical Scenario

Used in cases of communicating hydrocephalus requiring surgical intervention.

Documentation Requirements

Surgical notes detailing the procedure and indications for shunt placement.

Specialty Considerations

Neurosurgeons must document the patient's pre-operative status and post-operative care.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hydrocephalus types, improving the accuracy of diagnoses and treatment tracking. G91.0 provides a clear distinction from obstructive types, enhancing clinical data quality.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hydrocephalus types, improving the accuracy of diagnoses and treatment tracking. G91.0 provides a clear distinction from obstructive types, enhancing clinical data quality.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of hydrocephalus types, improving the accuracy of diagnoses and treatment tracking. G91.0 provides a clear distinction from obstructive types, enhancing clinical data quality.

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 symptoms of communicating hydrocephalus?

Common symptoms include headaches, nausea, vomiting, cognitive decline, and gait disturbances. These symptoms arise from increased intracranial pressure due to CSF accumulation.

How is communicating hydrocephalus diagnosed?

Diagnosis is typically made through neuroimaging techniques such as MRI or CT scans, which reveal enlarged ventricles without obstruction of the CSF pathways.

What treatments are available for communicating hydrocephalus?

Treatment often involves the surgical placement of a shunt to facilitate CSF drainage and alleviate symptoms. Regular follow-up is necessary to monitor for complications.