Cervical spina bifida without hydrocephalus
ICD-10 Q05.5 is a billable code used to indicate a diagnosis of cervical spina bifida without hydrocephalus.
Cervical spina bifida is a type of neural tube defect that occurs when the spinal column does not close completely during fetal development. This condition specifically affects the cervical region of the spine, which can lead to a range of neurological impairments depending on the severity and location of the defect. Unlike other forms of spina bifida, cervical spina bifida without hydrocephalus does not involve the accumulation of cerebrospinal fluid in the brain, which is a common complication in other types. Clinical manifestations may include motor deficits, sensory loss, and potential issues with bladder and bowel control. Early diagnosis through prenatal imaging and postnatal assessment is crucial for managing the condition. Treatment often involves surgical intervention to close the defect and multidisciplinary care to address associated complications. The prognosis varies widely based on the extent of the defect and the presence of other anomalies.
Detailed clinical notes on developmental milestones, neurological assessments, and treatment plans.
Management of a newborn diagnosed with cervical spina bifida, follow-up assessments for developmental delays.
Ensure accurate coding of associated conditions and developmental assessments.
Genetic testing results, family history of congenital conditions, and counseling notes.
Genetic counseling for families with a history of neural tube defects, evaluation of chromosomal abnormalities.
Consider the implications of genetic syndromes that may present with similar features.
Used in surgical management of cervical spina bifida.
Operative reports detailing the procedure and indications.
Pediatric surgical notes should include pre-operative assessments and post-operative care plans.
Cervical spina bifida without hydrocephalus refers to the defect in the spinal column without the complication of fluid accumulation in the brain, which can lead to different management strategies and outcomes.
