Hypoplasia and dysplasia of spinal cord
ICD-10 Q06.1 is a billable code used to indicate a diagnosis of hypoplasia and dysplasia of spinal cord.
Hypoplasia and dysplasia of the spinal cord are congenital malformations characterized by underdevelopment (hypoplasia) or abnormal development (dysplasia) of the spinal cord. These conditions can lead to a range of neurological deficits, depending on the severity and location of the malformation. Hypoplasia may result in reduced spinal cord size, while dysplasia can involve structural abnormalities that affect the function of the spinal cord. These conditions are often associated with other congenital malformations of the nervous system, such as spina bifida, where the spinal cord does not close properly, leading to exposure and potential damage. Patients may present with symptoms such as weakness, sensory deficits, or bowel and bladder dysfunction. Diagnosis typically involves imaging studies, such as MRI, to assess the spinal cord's structure and function. Management may include surgical intervention, physical therapy, and supportive care to address associated symptoms and improve quality of life.
Pediatric documentation must include growth and developmental milestones, neurological assessments, and any interventions or therapies provided.
Common scenarios include infants diagnosed with spina bifida at birth, children presenting with developmental delays, and those requiring surgical intervention for spinal cord anomalies.
Accurate coding requires understanding the impact of the condition on the child's overall development and any associated disabilities.
Genetic documentation should include family history, genetic testing results, and any syndromic associations with congenital malformations.
Scenarios may involve genetic counseling for families with a history of congenital malformations or chromosomal abnormalities.
Consideration of genetic syndromes that may present with spinal cord anomalies is crucial for accurate coding.
Used in cases of suspected hydrocephalus or spinal cord anomalies.
Document indication for procedure and any findings.
Pediatric considerations for sedation and monitoring.
Hypoplasia refers to underdevelopment of the spinal cord, resulting in a smaller than normal size, while dysplasia indicates abnormal development, which can lead to structural anomalies affecting function. Accurate coding requires understanding these distinctions and their clinical implications.
