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v1.0.0
ICD-10 Guide
ICD-10 CodesQ06.0

Q06.0

Billable

Amyelia

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q06.0 is a billable code used to indicate a diagnosis of amyelia.

Key Diagnostic Point:

Amyelia is a rare congenital malformation characterized by the complete absence of the spinal cord. This condition is classified under congenital malformations of the nervous system and is often associated with other severe neural tube defects. Amyelia can lead to significant neurological impairment, including paralysis and loss of sensory function below the level of the defect. The condition may occur in conjunction with other congenital anomalies such as anencephaly, spina bifida, hydrocephalus, microcephaly, and holoprosencephaly. Diagnosis typically involves imaging studies such as MRI or ultrasound, which can reveal the absence of the spinal cord and associated structural abnormalities. Management of amyelia is multidisciplinary, often involving pediatric neurology, rehabilitation, and supportive care to address the functional limitations and improve the quality of life for affected individuals.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variability in presentation and associated anomalies
  • Need for detailed imaging reports for accurate diagnosis
  • Potential for co-occurring congenital conditions
  • Documentation of neurological deficits and functional status

Audit Risk Factors

  • Inadequate documentation of associated congenital anomalies
  • Failure to specify the severity of neurological impairment
  • Misclassification with other neural tube defects
  • Lack of imaging studies in the medical record

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed clinical notes on developmental milestones and neurological assessments are essential.

Common Clinical Scenarios

Management of a newborn diagnosed with amyelia presenting with associated anomalies.

Billing Considerations

Coders must ensure accurate representation of the patient's functional status and any interventions provided.

Genetics

Documentation Requirements

Genetic testing results and family history documentation are crucial for understanding potential hereditary patterns.

Common Clinical Scenarios

Genetic counseling for families with a history of congenital malformations.

Billing Considerations

Consideration of chromosomal abnormalities that may co-occur with amyelia.

Coding Guidelines

Inclusion Criteria

Use Q06.0 When
  • Follow the official ICD
  • CM guidelines for coding congenital malformations, ensuring specificity in documentation and adherence to coding conventions

Exclusion Criteria

Do NOT use Q06.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

62270CPT Code

Lumbar puncture

Clinical Scenario

Used for diagnostic evaluation in cases of suspected hydrocephalus associated with amyelia.

Documentation Requirements

Document indication for procedure and findings.

Specialty Considerations

Pediatric considerations for sedation and monitoring.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital malformations, improving the accuracy of data collection and reimbursement processes for conditions like amyelia.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital malformations, improving the accuracy of data collection and reimbursement processes for conditions like amyelia.

Reimbursement & Billing Impact

reimbursement processes for conditions like amyelia.

Resources

Clinical References

  • •
    CDC Congenital Malformations

Coding & Billing References

  • •
    CDC Congenital Malformations

Frequently Asked Questions

What is the primary concern when coding for amyelia?

The primary concern is ensuring accurate documentation of associated congenital anomalies and the severity of neurological impairment, as these factors significantly impact management and care.