Hydrocephalus, unspecified
ICD-10 G91.9 is a billable code used to indicate a diagnosis of hydrocephalus, unspecified.
Hydrocephalus is a condition characterized by an abnormal accumulation of cerebrospinal fluid (CSF) within the ventricles of the brain, leading to increased intracranial pressure. This condition can occur at any age and may be congenital or acquired. Symptoms can vary widely depending on the age of onset and the underlying cause. In infants, signs may include an enlarged head, irritability, vomiting, and developmental delays. In older children and adults, symptoms may include headaches, nausea, vision problems, cognitive difficulties, and gait disturbances. Hydrocephalus can result from various factors, including obstruction of CSF flow, overproduction of CSF, or impaired absorption. The unspecified designation indicates that the specific type or cause of hydrocephalus has not been determined, which can complicate treatment and management. Diagnosis typically involves neuroimaging techniques such as MRI or CT scans to visualize the ventricles and assess for any obstructions or abnormalities. Treatment often involves surgical intervention, such as the placement of a shunt to drain excess fluid and relieve pressure on the brain.
Detailed neurological examination findings, imaging results, and treatment plans.
Patients presenting with headaches, cognitive decline, or developmental delays.
Ensure that all neurological assessments and imaging studies are documented to support the diagnosis.
Growth charts, developmental assessments, and parental observations.
Infants with increased head circumference or developmental delays.
Document any family history of neurological disorders and the child's developmental milestones.
Used in cases of acute hydrocephalus requiring immediate drainage.
Document the indication for the procedure and any imaging studies performed.
Neurosurgery should provide detailed operative notes.
Common causes include congenital malformations, infections such as meningitis, tumors, and traumatic brain injuries that obstruct CSF flow.
