Multi-system degeneration of the autonomic nervous system
ICD-10 G90.3 is a billable code used to indicate a diagnosis of multi-system degeneration of the autonomic nervous system.
Multi-system degeneration of the autonomic nervous system (MSDANS) is a rare condition characterized by the progressive degeneration of autonomic nerves that control involuntary bodily functions. This condition can lead to a variety of symptoms affecting multiple organ systems, including cardiovascular, gastrointestinal, and urogenital systems. Patients may experience orthostatic hypotension, gastrointestinal dysmotility, urinary incontinence, and sexual dysfunction. The degeneration can be idiopathic or associated with other neurodegenerative diseases such as Parkinson's disease or multiple system atrophy. Diagnosis typically involves a combination of clinical evaluation, autonomic function tests, and imaging studies to assess the extent of nerve damage. Management focuses on symptomatic relief and may include medications to address specific symptoms, lifestyle modifications, and physical therapy. The complexity of this condition arises from its multi-faceted nature, requiring a comprehensive approach to diagnosis and treatment.
Detailed neurological examination findings, results from autonomic function tests, and any imaging studies performed.
Patients presenting with unexplained syncope, gastrointestinal issues, or urinary problems.
Ensure comprehensive documentation of all symptoms and their progression to support the diagnosis.
Thorough history of symptoms, review of systems, and any relevant lab results.
Management of patients with autonomic dysfunction presenting with cardiovascular symptoms.
Document any comorbid conditions that may influence treatment and management strategies.
Used when specific autonomic testing procedures are performed.
Document the rationale for unlisted procedure use and details of the tests conducted.
Neurology specialists should ensure that all tests are clearly justified.
Common symptoms include orthostatic hypotension, gastrointestinal dysmotility, urinary incontinence, and sexual dysfunction, reflecting the multi-system impact of the condition.
Diagnosis involves a thorough clinical evaluation, autonomic function tests, and imaging studies to assess nerve integrity and rule out other conditions.
