Cervical spina bifida with hydrocephalus
ICD-10 Q05.0 is a billable code used to indicate a diagnosis of cervical spina bifida with hydrocephalus.
Cervical spina bifida with hydrocephalus is a congenital malformation characterized by the incomplete closure of the neural tube during embryonic development, specifically affecting the cervical region of the spinal cord. This condition results in a defect where the spinal cord and surrounding structures protrude through the vertebral column, leading to varying degrees of neurological impairment. Hydrocephalus, often associated with spina bifida, is the accumulation of cerebrospinal fluid (CSF) within the ventricles of the brain, causing increased intracranial pressure and potential brain damage. Clinically, affected individuals may present with motor deficits, sensory loss, and cognitive impairments, depending on the severity and level of the defect. Early diagnosis through prenatal imaging and postnatal assessments is crucial for management, which may include surgical interventions to close the defect and shunt placement for hydrocephalus. Long-term follow-up is necessary to monitor neurological development and manage associated complications.
Detailed pediatric assessments including developmental milestones, neurological evaluations, and surgical history.
Management of newborns with spina bifida and hydrocephalus, including pre- and post-operative care.
Consideration of growth and developmental assessments in coding, as well as the impact of interventions on long-term outcomes.
Genetic counseling notes, family history assessments, and results of chromosomal studies.
Evaluation of genetic syndromes associated with spina bifida and hydrocephalus, including chromosomal abnormalities.
Documentation of genetic testing results and implications for family planning and recurrence risk.
Used in conjunction with Q05.0 for patients requiring hydrocephalus management.
Document indication for shunt placement and pre-operative assessments.
Neurosurgery documentation must align with pediatric assessments.
Accurate coding of Q05.0 is crucial for appropriate reimbursement, tracking of congenital conditions, and ensuring that patients receive the necessary multidisciplinary care. It also aids in research and public health initiatives aimed at understanding and preventing congenital malformations.
