Vascular myelopathies
ICD-10 G95.1 is a billable code used to indicate a diagnosis of vascular myelopathies.
Vascular myelopathies refer to a group of disorders characterized by damage to the spinal cord due to vascular insufficiency or occlusion. This condition can result from various etiologies, including ischemic events, hemorrhagic strokes, or chronic vascular diseases that compromise blood flow to the spinal cord. Patients may present with a range of symptoms, including motor and sensory deficits, pain syndromes, and autonomic dysfunction. Pain syndromes can manifest as neuropathic pain, which may be localized or diffuse, and can significantly impact the patient's quality of life. Autonomic disorders may include bladder dysfunction, bowel irregularities, and sexual dysfunction, stemming from disrupted autonomic pathways. In some cases, vascular myelopathies can lead to secondary complications such as hydrocephalus, where cerebrospinal fluid accumulates due to impaired absorption or flow, further complicating the clinical picture. Diagnosis typically involves a combination of clinical evaluation, imaging studies, and sometimes electrophysiological testing to assess the extent of spinal cord involvement and to rule out other conditions. Treatment focuses on managing symptoms and addressing the underlying vascular issues.
Detailed neurological examination findings, imaging results, and treatment plans.
Patients presenting with unexplained motor deficits, pain syndromes, or autonomic dysfunction.
Ensure that all neurological deficits are documented, including onset, duration, and progression.
Functional assessments, rehabilitation goals, and progress notes.
Patients requiring rehabilitation for mobility issues or pain management.
Document the impact of myelopathy on daily activities and the patient's rehabilitation potential.
Used for follow-up visits for patients with vascular myelopathy.
Document history, examination findings, and management plan.
Neurology specialists should ensure comprehensive neurological assessments are included.
Common symptoms include motor weakness, sensory loss, neuropathic pain, and autonomic dysfunction such as bladder and bowel issues.
Diagnosis typically involves a thorough clinical evaluation, imaging studies such as MRI, and sometimes electrophysiological tests to assess spinal cord function.
