Other vascular myelopathies
ICD-10 G95.19 is a billable code used to indicate a diagnosis of other vascular myelopathies.
Other vascular myelopathies refer to a group of disorders characterized by spinal cord dysfunction due to vascular causes that do not fall under more specific categories. These conditions can arise from various vascular insults, including ischemia, hemorrhage, or venous congestion, leading to neurological deficits. Patients may present with a range of symptoms, including motor and sensory deficits, pain syndromes, and autonomic dysfunction. Pain syndromes can manifest as neuropathic pain, which may be localized or diffuse, and can significantly impact the quality of life. Autonomic disorders may include bladder dysfunction, bowel irregularities, and sexual dysfunction, complicating the clinical picture. Hydrocephalus may also occur as a secondary complication due to impaired cerebrospinal fluid dynamics. The diagnosis often requires a thorough clinical evaluation, imaging studies, and sometimes invasive procedures to assess vascular integrity. Treatment is typically multidisciplinary, focusing on managing symptoms and addressing the underlying vascular issues.
Detailed neurological examination findings, imaging results, and treatment plans.
Patients presenting with unexplained motor/sensory deficits, pain syndromes, or autonomic dysfunction.
Ensure clear documentation of vascular causes and symptomatology to support coding.
Surgical notes, pre-operative assessments, and post-operative follow-ups.
Patients requiring surgical intervention for vascular lesions affecting the spinal cord.
Document the rationale for surgical intervention and any complications related to vascular myelopathy.
Used to assess cerebrospinal fluid in cases of suspected vascular myelopathy.
Document indications for the procedure and findings.
Neurology should ensure clear rationale for lumbar puncture in the context of vascular issues.
Common symptoms include motor and sensory deficits, neuropathic pain, bladder and bowel dysfunction, and signs of autonomic instability.
