Benign intracranial hypertension
ICD-10 G93.2 is a billable code used to indicate a diagnosis of benign intracranial hypertension.
Benign intracranial hypertension (BIH), also known as pseudotumor cerebri, is a condition characterized by increased intracranial pressure without an identifiable cause. It primarily affects young women, particularly those who are overweight. Symptoms often include headaches, visual disturbances, and pulsatile tinnitus. The headaches are typically severe and can mimic migraine or tension-type headaches. Visual symptoms may include transient visual obscurations or even permanent vision loss due to optic nerve damage. The condition is often diagnosed through clinical evaluation, imaging studies such as MRI or CT scans to rule out other causes of increased intracranial pressure, and lumbar puncture to measure cerebrospinal fluid (CSF) pressure. Treatment options may include weight loss, medications such as acetazolamide to reduce CSF production, and in severe cases, surgical interventions like optic nerve sheath fenestration or shunt placement. Understanding the nuances of BIH is crucial for accurate coding and management.
Detailed neurological examination findings, imaging results, and treatment plans.
Patients presenting with headaches, visual changes, and signs of increased intracranial pressure.
Ensure thorough documentation of all diagnostic tests and patient history to support the diagnosis.
Visual field tests, fundoscopic examination findings, and any interventions performed.
Patients with visual disturbances secondary to increased intracranial pressure.
Document any changes in vision and the rationale for interventions to prevent vision loss.
Used to measure CSF pressure in suspected cases of BIH.
Document indication for lumbar puncture and results.
Neurology should ensure thorough documentation of the procedure and its necessity.
Common symptoms include severe headaches, visual disturbances, and pulsatile tinnitus. Patients may also experience transient visual obscurations.
Diagnosis is made through clinical evaluation, imaging studies to rule out other causes, and lumbar puncture to measure cerebrospinal fluid pressure.
Treatment options include weight loss, medications like acetazolamide, and surgical interventions in severe cases.
Yes, if left untreated, BIH can lead to optic nerve damage and permanent vision loss.
