Clonic hemifacial spasm, right
ICD-10 G51.31 is a billable code used to indicate a diagnosis of clonic hemifacial spasm, right.
Clonic hemifacial spasm is a neurological condition characterized by involuntary muscle contractions on one side of the face, specifically the right side in this case. This condition is often caused by irritation or compression of the facial nerve (cranial nerve VII), which can occur due to various factors such as vascular compression, tumors, or multiple sclerosis. Patients may experience intermittent spasms that can be triggered by stress, fatigue, or certain facial movements. The spasms can significantly impact daily activities and quality of life, leading to social embarrassment and psychological distress. Diagnosis typically involves a thorough clinical examination, patient history, and may include imaging studies to identify any underlying causes. Treatment options may include medications, botulinum toxin injections, or surgical interventions aimed at relieving nerve compression. Accurate coding is essential for proper reimbursement and to ensure that the patient's condition is clearly communicated in the medical record.
Detailed neurological examination findings, patient history, and any imaging studies performed.
Patients presenting with unilateral facial spasms, history of facial nerve injury, or post-surgical complications.
Ensure that the documentation clearly states the nature of the spasms and any treatments attempted.
Assessment of facial nerve function, any surgical interventions, and follow-up care.
Patients with facial nerve compression due to tumors or vascular anomalies.
Document any surgical findings and the rationale for interventions performed.
Used for treatment of hemifacial spasm to reduce muscle contractions.
Document the number of units injected and the specific muscles targeted.
Otolaryngologists and neurologists should ensure proper documentation of treatment efficacy.
The primary cause is often vascular compression of the facial nerve, but it can also be due to tumors or demyelinating diseases.
Diagnosis is primarily clinical, based on the observation of involuntary facial contractions, and may be supported by imaging studies to rule out other conditions.
