Posterior reversible encephalopathy syndrome
ICD-10 I67.83 is a billable code used to indicate a diagnosis of posterior reversible encephalopathy syndrome.
Posterior reversible encephalopathy syndrome (PRES) is a neurological condition characterized by a range of symptoms including headache, altered mental status, seizures, and visual disturbances. It is often associated with conditions that cause hypertension, such as cardiovascular diseases, renal failure, and certain medications. The syndrome primarily affects the posterior regions of the brain, particularly the parieto-occipital lobes, leading to edema and dysfunction. The pathophysiology involves a disruption of the blood-brain barrier, which can result from acute hypertension or other systemic conditions. Diagnosis is typically made through clinical evaluation and neuroimaging, such as MRI, which reveals characteristic findings of edema. Early recognition and management of the underlying causes, such as controlling blood pressure, are crucial for recovery. Most patients experience complete resolution of symptoms with appropriate treatment, although some may have lingering effects. Understanding the clinical presentation and the anatomical areas involved is essential for accurate diagnosis and management.
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
I67.83 encompasses conditions leading to posterior reversible encephalopathy syndrome, primarily associated with severe hypertension, eclampsia, renal failure, and certain immunosuppressive therapies.
I67.83 should be used when the clinical presentation aligns with posterior reversible encephalopathy syndrome, particularly when there is evidence of posterior brain edema and associated symptoms, differentiating it from other encephalopathies.
Documentation should include clinical symptoms, blood pressure readings, imaging results showing posterior edema, and management of underlying conditions to support the diagnosis of PRES.
