Progressive vascular leukoencephalopathy
ICD-10 I67.3 is a billable code used to indicate a diagnosis of progressive vascular leukoencephalopathy.
Progressive vascular leukoencephalopathy is a neurological condition characterized by the degeneration of white matter in the brain due to chronic ischemia, often associated with small vessel disease. Clinically, patients may present with cognitive decline, gait disturbances, and other neurological deficits. The condition primarily affects the periventricular white matter, which is crucial for communication between different brain regions. Disease progression can lead to significant impairment in daily functioning and quality of life. Diagnostic considerations include neuroimaging studies such as MRI, which can reveal characteristic changes in white matter hyperintensities. Additionally, a thorough clinical assessment is essential to differentiate it from other forms of dementia and vascular cognitive impairment. Risk factors include hypertension, diabetes, and other cardiovascular diseases that contribute to small vessel disease, emphasizing the importance of managing these underlying conditions to slow disease progression.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
I67.3 specifically covers progressive vascular leukoencephalopathy, which is associated with chronic ischemic changes in the brain's white matter due to small vessel disease. It is important to differentiate this condition from other types of leukoencephalopathy and vascular dementia.
I67.3 should be used when there is clear evidence of progressive vascular leukoencephalopathy characterized by specific neuroimaging findings and clinical symptoms. It is distinct from other codes that may refer to transient ischemic attacks or other cerebrovascular diseases.
Documentation for I67.3 should include detailed clinical notes outlining the patient's symptoms, neuroimaging results showing white matter changes, and any relevant medical history that supports the diagnosis of progressive vascular leukoencephalopathy.
