Spina bifida
Chapter 17:Congenital malformations and chromosomal abnormalities
ICD-10 Q05 is a billable code used to indicate a diagnosis of spina bifida.
Spina bifida is a congenital malformation of the neural tube that occurs when the spinal column does not close completely during fetal development. This condition can lead to varying degrees of disability, depending on the location and severity of the defect. The most common form is spina bifida occulta, where the defect is covered by skin and may not cause significant symptoms. More severe forms, such as spina bifida cystica, involve protrusion of the spinal cord and nerves through the defect, leading to neurological impairment, paralysis, and other complications. Associated conditions may include hydrocephalus, where cerebrospinal fluid accumulates in the brain, and Chiari malformation, where brain tissue extends into the spinal canal. Diagnosis is typically made through prenatal ultrasound or postnatal imaging. Management may involve surgical intervention, physical therapy, and ongoing medical care to address associated complications.
Detailed records of developmental milestones, neurological assessments, and interventions.
Management of spina bifida in infants, including surgical repair and ongoing therapy.
Consideration of comorbidities such as bladder and bowel dysfunction, and the need for multidisciplinary care.
Genetic counseling notes, family history, and any chromosomal analysis results.
Assessment of genetic syndromes associated with spina bifida and counseling for recurrence risk.
Understanding the genetic basis of neural tube defects and implications for family planning.
Used in cases of hydrocephalus associated with spina bifida.
Document indication for shunt placement and pre-operative assessments.
Pediatric neurosurgery may be involved in the procedure.
Spina bifida occulta is a mild form where the defect is covered by skin and may not cause symptoms, while spina bifida cystica involves a more severe defect with protrusion of the spinal cord and nerves, often leading to significant neurological impairment.
