Congenital cerebral cysts
ICD-10 Q04.6 is a billable code used to indicate a diagnosis of congenital cerebral cysts.
Congenital cerebral cysts are fluid-filled sacs that develop in the brain during fetal development. These cysts can vary in size and location, and they may be associated with other congenital malformations of the nervous system, such as anencephaly, spina bifida, hydrocephalus, microcephaly, and holoprosencephaly. The presence of cerebral cysts can lead to increased intracranial pressure, developmental delays, and neurological deficits. Diagnosis is typically made through imaging studies such as ultrasound or MRI, which can reveal the size, number, and location of the cysts. Management may involve monitoring, surgical intervention, or supportive care depending on the cyst's characteristics and associated complications. Understanding the implications of cerebral cysts is crucial for pediatricians and geneticists, as they may indicate underlying genetic syndromes or chromosomal abnormalities that require further evaluation and management.
Pediatric documentation should include detailed developmental assessments, imaging results, and any associated neurological evaluations.
Common scenarios include monitoring a newborn with cerebral cysts for developmental milestones and assessing for signs of increased intracranial pressure.
Pediatric coders should be aware of the potential for co-occurring congenital conditions and ensure comprehensive documentation to support coding.
Genetic documentation should include family history, genetic testing results, and any syndromic associations with cerebral cysts.
Genetic counseling may be required for families with a history of congenital malformations, including cerebral cysts.
Genetic coders must ensure accurate coding of any identified chromosomal abnormalities that may be associated with the cysts.
Used to evaluate the size and location of cerebral cysts in a pediatric patient.
MRI reports must detail the findings and any associated anomalies.
Pediatric radiologists should provide comprehensive reports to support coding.
Common associated conditions include spina bifida, hydrocephalus, and other congenital malformations of the nervous system. Genetic syndromes may also be present, necessitating further evaluation.
