Diastematomyelia
ICD-10 Q06.2 is a billable code used to indicate a diagnosis of diastematomyelia.
Diastematomyelia is a rare congenital malformation characterized by the presence of a split spinal cord, which occurs due to the incomplete fusion of the neural tube during embryonic development. This condition can lead to a variety of neurological deficits, including motor and sensory impairments, depending on the level of the split and associated anomalies. Diastematomyelia is often associated with other congenital malformations of the nervous system, such as spina bifida, where the spinal cord and surrounding structures do not close properly. Patients may present with symptoms such as back pain, scoliosis, and neurological deficits, which can vary widely in severity. Diagnosis typically involves imaging studies, such as MRI, which can reveal the extent of the spinal cord split and any associated anomalies. Management may include surgical intervention to correct the malformation and alleviate symptoms, as well as ongoing physical therapy to support motor function. Early diagnosis and intervention are crucial for improving outcomes in affected individuals.
Pediatric documentation should include developmental milestones, neurological assessments, and any interventions or therapies provided.
Common scenarios include a child presenting with back pain, motor delays, or scoliosis, requiring evaluation for diastematomyelia.
Consideration should be given to the age of the patient and the potential for growth-related changes in symptoms.
Genetic documentation should include family history, genetic testing results, and any syndromic associations with diastematomyelia.
Genetic counseling may be required for families with a history of congenital malformations, including diastematomyelia.
Awareness of chromosomal abnormalities that may co-occur with diastematomyelia is essential for accurate coding.
Used in cases where surgical intervention is required for diastematomyelia.
Detailed operative notes and pre-operative assessments.
Neurosurgery may be involved in the surgical management of this condition.
Common symptoms include back pain, motor delays, sensory deficits, and scoliosis. The severity of symptoms can vary based on the extent of the spinal cord split and associated anomalies.
