Craniosynostosis unspecified, unilateral
ICD-10 Q75.001 is a billable code used to indicate a diagnosis of craniosynostosis unspecified, unilateral.
Craniosynostosis is a congenital condition characterized by the premature fusion of one or more cranial sutures, leading to abnormal head shape and potential intracranial pressure. Unilateral craniosynostosis specifically refers to the fusion of a single suture on one side of the skull, which can result in asymmetrical head growth. This condition may present with a variety of clinical features, including a noticeable change in head shape, developmental delays, and in some cases, neurological deficits. Diagnosis typically involves a thorough clinical examination and imaging studies such as CT scans to assess the suture involvement and rule out associated anomalies. Treatment often requires surgical intervention to correct the skull shape and alleviate any pressure on the brain. Early diagnosis and management are crucial to optimize developmental outcomes and prevent complications associated with increased intracranial pressure.
Detailed growth and developmental assessments, imaging results, and surgical intervention notes.
A pediatric patient presenting with an abnormal head shape, requiring imaging and potential surgical intervention.
Consideration of developmental milestones and potential neurodevelopmental assessments post-surgery.
Family history, genetic testing results, and assessment for syndromic associations.
Referral for genetic counseling in cases of syndromic craniosynostosis.
Documentation of any genetic syndromes associated with craniosynostosis, such as Apert or Crouzon syndrome.
Used in surgical correction of craniosynostosis.
Operative report detailing the procedure and indications.
Pediatric surgical notes must include pre-operative assessments and post-operative follow-up.
Specifying unilateral craniosynostosis is crucial for accurate treatment planning and understanding the potential implications for head shape and neurological development. It also aids in differentiating from bilateral forms, which may have different management strategies.
