Intracranial hypotension following ventricular shunting
ICD-10 G97.2 is a billable code used to indicate a diagnosis of intracranial hypotension following ventricular shunting.
Intracranial hypotension following ventricular shunting is a condition characterized by a decrease in cerebrospinal fluid (CSF) pressure, which can occur after the placement of a ventricular shunt. This condition may lead to a variety of symptoms, including severe headaches, neck pain, and other neurological deficits. The pathophysiology involves the imbalance between CSF production and absorption, often exacerbated by the shunting procedure itself. Patients may experience orthostatic headaches that worsen when standing and improve when lying down. Autonomic dysfunction may also manifest, leading to symptoms such as dizziness, nausea, and visual disturbances. In some cases, this condition can complicate pre-existing hydrocephalus or other nervous system disorders, necessitating careful monitoring and management. Diagnosis typically involves clinical evaluation, imaging studies, and possibly lumbar puncture to assess CSF pressure. Treatment may include conservative measures such as hydration and caffeine, or more invasive options like blood patching to restore CSF pressure.
Detailed history of symptoms, surgical history, and neurological examination findings.
Patients presenting with post-shunt headaches, dizziness, or other neurological deficits.
Ensure clear documentation of the relationship between shunting and symptoms to support coding.
Operative reports, post-operative follow-up notes, and imaging studies.
Post-operative management of patients with ventricular shunts experiencing complications.
Document the indication for shunt placement and any complications encountered.
Used when documenting the procedure leading to G97.2.
Operative report detailing the procedure and indication.
Neurosurgeons must provide clear documentation of the procedure and any complications.
Symptoms such as severe headaches, dizziness, and other neurological deficits following ventricular shunting should prompt consideration of G97.2.
