Lambdoid craniosynostosis, unilateral
ICD-10 Q75.041 is a billable code used to indicate a diagnosis of lambdoid craniosynostosis, unilateral.
Lambdoid craniosynostosis is a congenital condition characterized by the premature fusion of the lambdoid suture, which runs along the back of the skull. This unilateral fusion leads to an asymmetrical head shape, often resulting in flattening on one side of the skull and compensatory bulging on the opposite side. The condition can be associated with developmental delays, neurological issues, and facial asymmetry. Diagnosis typically involves physical examination and imaging studies such as CT scans to assess the suture fusion and rule out other craniosynostosis types. Treatment often requires surgical intervention to correct the skull shape and allow for normal brain growth. Early diagnosis and management are crucial to minimize potential complications and improve outcomes for affected infants.
Pediatric documentation must include growth parameters, developmental milestones, and any associated symptoms or conditions.
Common scenarios include routine well-child visits where head shape is assessed, referrals for developmental delays, and pre-operative evaluations.
Consideration must be given to the age of the child and the timing of surgical intervention, as well as any potential impacts on development.
Genetic documentation should include family history, any genetic testing results, and potential syndromic associations.
Genetic counseling sessions for families with a history of craniosynostosis or related syndromes.
Awareness of syndromic associations such as Apert syndrome or Crouzon syndrome is critical for accurate coding.
Used in surgical correction of lambdoid craniosynostosis.
Operative report detailing the procedure and indications for surgery.
Neurosurgical documentation must include pre-operative assessments and post-operative follow-up.
Accurate coding of Q75.041 is crucial for appropriate treatment planning, reimbursement, and tracking of outcomes in patients with lambdoid craniosynostosis. It ensures that healthcare providers can deliver the necessary care and that patients receive appropriate follow-up.
