Craniosynostosis unspecified, bilateral
ICD-10 Q75.002 is a billable code used to indicate a diagnosis of craniosynostosis unspecified, bilateral.
Craniosynostosis is a congenital condition characterized by the premature fusion of one or more cranial sutures, leading to abnormal head shape and potential intracranial pressure. In the case of bilateral craniosynostosis, the fusion occurs on both sides of the skull, which can result in a flattened appearance of the head and may affect brain development. This condition can be associated with other congenital malformations, including limb deformities and syndromic presentations. Diagnosis typically involves physical examination and imaging studies such as CT scans to assess suture fusion and brain structure. Treatment often requires surgical intervention to correct the skull shape and alleviate pressure on the brain. Early diagnosis and management are crucial to optimize developmental outcomes and minimize complications. The complexity of craniosynostosis can vary depending on the specific sutures involved and the presence of associated anomalies, making accurate coding essential for appropriate care and resource allocation.
Pediatric documentation should include growth parameters, developmental milestones, and any associated congenital conditions.
Common scenarios include referrals for surgical evaluation, follow-up after cranial surgery, and management of associated limb deformities.
Considerations include the need for multidisciplinary care involving neurosurgery, plastic surgery, and genetics.
Genetic documentation should include family history, genetic testing results, and any syndromic associations.
Scenarios may involve genetic counseling for families with a history of craniosynostosis or related syndromes.
Genetic factors may play a role in craniosynostosis, necessitating careful documentation of any chromosomal abnormalities.
Used in surgical correction of craniosynostosis.
Document the indication for surgery and any preoperative assessments.
Neurosurgery and plastic surgery may be involved in the procedure.
Specifying bilateral craniosynostosis is crucial for accurate coding and treatment planning, as it may have different implications for surgical intervention and associated risks compared to unilateral cases.
