Summary Summary. Mal de debarquement syndrome is a neurological disorder that most commonly develops following an ocean cruise or other type of water travel and less commonly following air travel, train travel, or other motion experiences.
ICD-9-CM 780.4 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 780.4 should only be used for claims with a date of service on or before September 30, 2015.
ICD-9-CM codes are used in medical billing and coding to describe diseases, injuries, symptoms and conditions. ICD-9-CM 780.4 is one of thousands of ICD-9-CM codes used in healthcare.
The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
Mal de debarquement (MDD) is a rare and poorly understood disorder of the vestibular system that results in a phantom perception of self- motion typically described as rocking, bobbing or swaying. The symptoms tend to be exacerbated when a patient is not moving, for example, when sleeping or standing still.
Mal de Débarquement Syndrome (MdDS) is a neurological disorder that leaves patients feeling as if they are rocking and swaying. Imagine always feeling in motion.
There is no specific test to diagnose MdDS. Your doctor will speak with you about your health history in general and ask questions related to this condition in particular. If you have repeatedly experienced MdDS symptoms after traveling by sea or air, it is likely a diagnosis of Mal de Debarquement Syndrome will occur.
Until now, there has been no effective treatment for MdDS. Diagnostic tests and early research done at Mount Sinai suggested that MdDS was caused by malfunctioning of the vestibule-ocular reflex (VOR), a mechanism in the inner ear that maintains balance and stabilizes the eyes during head movements, said Dr. Cohen.
How Is It Treated? It's a hard condition to treat -- no one thing works every time. It often goes away on its own within a year.
(9) found that benzodiazepines (specifically clonazepam and diazepam) to be amongst the most helpful medications for MdDS patients. Parker and Jennings (26), as well as Saha and Fife (13), similarly identified clonazepam as the most commonly helpful, preferentially due to its longer half-life (13).
Mal de Debarquement or "MdDS" is a type of vertigo and imbalance that mainly occurs after getting off of a boat. The usual situation is that of a middle aged woman who has gone on a cruise.
People who suffer from a long-term disability are often unable to work due to side effects and complications of the disorder. These individuals may feel helpless and frustrated with their inability to support themselves financially.
In addition, individuals with MdDS have high comorbidities with migraine, increased visual sensitivity, and mood disorders, e.g., depression and anxiety (1, 2). The association with stress should also be further investigated, since it is known that stress can exacerbate MdDS symptoms (18).
While the effects typically clear up in a few hours after returning to land, they can last for as long as two days. Symptoms can also return, or increase in intensity, if the condition is triggered.
In addition, individuals with MdDS have high comorbidities with migraine, increased visual sensitivity, and mood disorders, e.g., depression and anxiety (1, 2). The association with stress should also be further investigated, since it is known that stress can exacerbate MdDS symptoms (18).
0:167:15What is MAL DE DEBARQUEMENT? What does MAL DE ... - YouTubeYouTubeStart of suggested clipEnd of suggested clipMal de debarquement syndrome M DDS or common name disembarkment syndrome is a rare neurologicalMoreMal de debarquement syndrome M DDS or common name disembarkment syndrome is a rare neurological condition.
Listen. Mal de debarquement syndrome is a neurological disorder that most commonly develops following an ocean cruise or other type of water travel and less commonly following air travel, train travel, or other motion experiences. The symptoms typically reported include: persistent sensation of motion such as rocking, swaying, and/or bobbing, ...
The National Institute on Deafness and Other Communication Disorders (NIDCD) conducts and supports biomedical and behavioral research and research training in the normal and disordered processes of hearing, balance, smell, taste, voice, speech, and language. Click on the link to view information on this topic.
386.19 is a legacy non-billable code used to specify a medical diagnosis of other peripheral vertigo. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
A sensation of rocking or swaying that is present constantly or for most of the day.
Mal de Debarquement Syndrome is the persistent sense of motion (o ften described as a rocking sensation) usually following prolonged exposure to travel (such as being on a boat or long train ride). It generally feels worse while at rest and improves while you’re in motion. MdDS is often accompanied by anxiety and can significantly impact your quality of life due to its constant, unrelenting nature.
Mal de Debarquement and Persistent Postural Perceptual Dizziness have some overlapping features and in some cases may get mistakenly diagnosed as each other. These are both disorders of the central vestibular system where errors in brain processing maintain the persistent symptoms. Learn more about PPPD here.
MdDS and Drinking Alcohol. It is generally not recommended to consume alcohol to levels where there is an impairment of perception. In other words, if you are feeling a “buzz”, then you are drinking too much. MdDS itself involves errors in perception of position and therefore while recovering, you should not be subjected to other factors that impair perception.
Mal de Debarquement Syndrome is a relatively rare vestibular condition and even some established dizziness clinics may not have seen any of these cases prior. Search online for “vestibular rehabilitation” and when you contact the clinic, ask if they have treated this condition specifically.