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ICD-10 Guide
ICD-10 CodesG93.43

G93.43

Billable

Leukoencephalopathy with calcifications and cysts

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G93.43 is a billable code used to indicate a diagnosis of leukoencephalopathy with calcifications and cysts.

Key Diagnostic Point:

Leukoencephalopathy with calcifications and cysts is a rare neurological disorder characterized by the presence of white matter abnormalities in the brain, often accompanied by calcifications and cystic lesions. This condition can lead to a variety of neurological symptoms, including cognitive decline, motor dysfunction, and seizures. Patients may experience pain syndromes due to nerve involvement, and autonomic disorders may manifest as dysregulation of bodily functions such as heart rate and blood pressure. Hydrocephalus, or the accumulation of cerebrospinal fluid in the brain, can also occur, leading to increased intracranial pressure and further neurological complications. The etiology of this condition can be genetic or acquired, and it is essential for clinicians to conduct thorough evaluations, including neuroimaging and genetic testing, to establish a diagnosis. Management typically involves symptomatic treatment and supportive care, as there is currently no cure for the underlying condition.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for comprehensive documentation of neurological assessments
  • Potential overlap with other neurological disorders
  • Requirement for detailed imaging reports to support diagnosis

Audit Risk Factors

  • Inadequate documentation of neurological symptoms
  • Failure to provide imaging results that support the diagnosis
  • Misclassification of the condition due to symptom overlap
  • Lack of clarity in the patient's history regarding onset and progression

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with cognitive decline, seizures, or motor dysfunction.

Billing Considerations

Ensure that all neurological assessments are documented clearly to support the diagnosis.

Radiology

Documentation Requirements

Comprehensive imaging reports detailing the presence of calcifications and cysts.

Common Clinical Scenarios

Imaging studies ordered for patients with suspected leukoencephalopathy.

Billing Considerations

Radiologists should provide clear descriptions of findings to assist in accurate coding.

Coding Guidelines

Inclusion Criteria

Use G93.43 When
  • According to the official coding guidelines, G93
  • 43 should be used when the clinical documentation supports the diagnosis of leukoencephalopathy with calcifications and cysts
  • Coders must ensure that all relevant symptoms and diagnostic tests are documented to justify the use of this code

Exclusion Criteria

Do NOT use G93.43 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

70450CPT Code

CT scan of the head

Clinical Scenario

Used to evaluate for leukoencephalopathy in patients presenting with neurological symptoms.

Documentation Requirements

Document the clinical indications for the CT scan and findings.

Specialty Considerations

Radiologists should ensure clarity in reporting findings related to leukoencephalopathy.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of neurological disorders, including G93.43, which provides better granularity in capturing the complexities of leukoencephalopathy with calcifications and cysts. This specificity aids in improved patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neurological disorders, including G93.43, which provides better granularity in capturing the complexities of leukoencephalopathy with calcifications and cysts. This specificity aids in improved patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of neurological disorders, including G93.43, which provides better granularity in capturing the complexities of leukoencephalopathy with calcifications and cysts. This specificity aids in improved patient management and resource allocation.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common symptoms associated with G93.43?

Common symptoms include cognitive decline, seizures, motor dysfunction, headaches, and autonomic dysregulation.

How is G93.43 diagnosed?

Diagnosis typically involves a combination of clinical evaluation, neuroimaging studies, and sometimes genetic testing to identify underlying causes.