icd 9 code for myelomeningocele

Full Answer

What is myelomeningocele and what causes it?

Myelomeningocele is a type of spina bifida — the most severe type. It results in a fluid-filled sac that protrudes from your baby’s back that contains part of their spinal cord and nerves. Other types of spina bifida include meningocele and spina bifida occulta.

How is multiple myelomeningocele diagnosed?

Myelomeningocele is most often diagnosed in utero. The diagnosis can be suggested by the maternal serum alpha-fetoprotein (MSAFP) test. This common test detects alpha-fetoprotein (a protein produced by the fetus) in the mother’s blood.

What are the risks of myelomeningocele surgery during pregnancy?

It carries risks for both mother and fetus, and cannot be performed in all cases, but in general, results of the procedure have been promising. Newborns with myelomeningocele are treated quickly to reduce the likelihood of infection or further trauma to the spinal cord.

What is the ICD 10 code for Neurologic diagnosis?

Q05.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM Q05.9 became effective on October 1, 2018. This is the American ICD-10-CM version of Q05.9 - other international versions of ICD-10 Q05.9 may differ.

What is the meaning of myelomeningocele?

Myelomeningocele is a neural tube defect in which the bones of the spine do not completely form. This results in an incomplete spinal canal. The spinal cord and meninges protrude from the child's back. This condition may affect as many as 1 out of every 4,000 infants.

What is the dx Code for spina bifida?

What is the ICD-10 Code for Spina Bifida? The ICD-10 Code for spina bifida is Q05. 9.

What is the Code for dorsal spina bifida with hydrocephalus?

ICD-9-CM Diagnosis Code 741.02 : Spina bifida with hydrocephalus, dorsal (thoracic) region.

What is spina bifida hcc?

Spina bifida is a condition where the bones in the vertebral column do not fully cover the spinal cord, leaving it exposed. Symptoms range from mild to severe, and it can affect physical and intellectual development. Spina bifida is a congenital problem , which means it is present before birth.

What is the ICD-10 code for myelomeningocele?

The 2022 edition of ICD-10-CM Q05. 7 became effective on October 1, 2021. This is the American ICD-10-CM version of Q05.

Are myelomeningocele and Meningomyelocele the same?

Meningomyelocele, also commonly known as myelomeningocele, is a type of spina bifida. Spina bifida is a birth defect in which the spinal canal and the backbone don't close before the baby is born. This type of birth defect is also called a neural tube defect.

What is the ICD-10 code for congenital hydrocephalus?

ICD-10 code Q03. 9 for Congenital hydrocephalus, unspecified is a medical classification as listed by WHO under the range - Congenital malformations, deformations and chromosomal abnormalities .

Which of the following conditions would be reported with Code Q65 81?

Which of the following conditions would be reported with code Q65. 81? Imaging of the renal area reveals congenital left renal agenesis and right renal hypoplasia.

What is ICD-10 code for unspecified hydrocephalus?

ICD-10 code G91. 9 for Hydrocephalus, unspecified is a medical classification as listed by WHO under the range - Diseases of the nervous system .

What is the difference between spina bifida and myelomeningocele?

Myelomeningocele is a type of spina bifida — a birth defect in which your baby's spine and spinal canal don't close before birth. Healthcare providers can usually diagnose myelomeningocele during pregnancy and perform surgery during pregnancy or after birth to repair the opening in your baby's spine.

What is the difference between meningocele and myelomeningocele?

With meningoceles, the spinal cord has developed normally and is undamaged. The child has no neurological problems. Myelomeningocele is the most severe form of spina bifida, occurring nearly once for every 1,000 live births.

What are the 3 types of spina bifida?

The three most common types of spina bifida are:Myelomeningocele (sounds like: my-low-ma-nin-jo-seal; hear how “myelomeningocele” sounds ) ... Meningocele (sounds like: ma-nin-jo-seal; hear how “meningocele” sounds ) ... Spina Bifida Occulta (sounds like: o-cult-tuh; hear how “occulta” sounds )

What is the ICD-10-CM code for spina bifida occulta?

ICD-10 code Q76. 0 for Spina bifida occulta is a medical classification as listed by WHO under the range - Congenital malformations, deformations and chromosomal abnormalities .

What is Lipomeningocele?

Lipomeningocele. This type of spina bifida is associated with an overlying fatty tumor. At birth, the skin is intact over the underlying spinal cord and vertebral anomaly. There is associated muscle weakness and decreased sensation, relevant to the level of the spinal cord involved.

Which of the following conditions would be reported with Code Q65 81?

Which of the following conditions would be reported with code Q65. 81? Imaging of the renal area reveals congenital left renal agenesis and right renal hypoplasia.

What is the ICD-10 code for developmental delay?

315.9 - Unspecified delay in development. ICD-10-CM.

When will the ICd 10-CM Q05.9 be released?

The 2022 edition of ICD-10-CM Q05.9 became effective on October 1, 2021.

What are congenital defects?

Congenital defects of closure of one or more vertebral arches, which may be associated with malformations of the spinal cord, nerve roots , congenital fibrous bands, lipomas, and congenital cysts. These malformations range from mild (e.g., spina bifida occulta) to severe, including rachischisis where there is complete failure of neural tube and spinal cord fusion, resulting in exposure of the spinal cord at the surface. Spinal dysraphism includes all forms of spina bifida. The open form is called spina bifida cystica and the closed form is spina bifida occulta. (from Joynt, Clinical Neurology, 1992, ch55, p34)

What are the environmental factors that cause myelomeningocele?

Environmental factors include exposure to radiation, different types of pollution, pesticides, organic solvents, and teratogens. Maternal factors are numerous and include irregular maternal nutrition, low folic acid supplementation, caffeine and alcohol consumption, smoking, the use of anticonvulsants, in addition to certain maternal illnesses such as diabetes, obesity, hyperthermia, and anxiety. However, most of the cases of myelomeningocele are sporadic in origin and occur in a non-genetic pattern. Though, some genetic factors might increase the risk of occurrence, for instance, the presence of chromosomal anomalies of trisomy 18 or 13 and patients with an affected twin or first-degree relative. Also, there are more than 40 genetic strains detected in animal models, specifically in mice, were associated with spina bifida aperta. In humans, in contrast, specific genetic mutations of amino-acid altering in the sequencing of coding regions such as planar cell polarity pathway genes and folate one-carbon metabolism encoding enzymes were reported in some patients with spina bifida. [2][6]

What are neural tube defects?

Neural tube defects are a spectrum of congenital anomalies that include cranial defects and open or closed spinal dysraphism. Open spinal dysraphisms or spina bifida aperta are often seen during the physical examination as visible lesions and include malformations such as myelomeningocele. On the other hand, closed spinal dysraphisms or spina bifida occulta are non-visible lesions, usually with no apparent signs recognized during physical examination. Thus, patients are often asymptomatic with no future complications and usually, do not require treatments. Myelomeningocele generally occurs during embryonic development due to incomplete closure of the spinal neural tube during the first month of pregnancy. It ultimately leads to an exposed neural tissue or meninges with a fluid-filled sac that protrudes at the affected vertebral level. [1][2][3]Myelomeningocele can cause several neurological deficits and complications which are dependent on the involved vertebral site. It can lead to devastating morbidity and multiple disabilities; hence, the prognosis is often worse if diagnosed late or left untreated. [4][5]

What is the term for a sac that contains neural tissue?

Myelomeningocele is one of the forms of spina bifida and described as a fluid contained sac containing neural tissue protruding from the back. It occurs when there is an incomplete closure of the spinal cord during the first month of pregnancy. Many factors can lead to myelomeningocele, and a vast majority of cases are preventable with adequate maternal nutrition and folic acid supplementation during pregnancy.

Is myelomeningocele a pregnancy diagnosis?

The diagnosis of myelomeningocele is possible in the first trimester of pregnancy. Amniocentesis is helpful and usually favored for high-risk patients. For instance, there are reports of elevated levels of alpha-fetoprotein in amniotic fluid samples in patients with anencephaly and myelomeningocele.[2] However, ultrasonography is non-invasive, safe, effective, and often used for second-trimester anomaly scanning. It usually involves a careful examination of the fetal spine preferably from the sagittal plane, looking for any visible sacs, cystic extensions, spinal lesions, or vertebral distortions.[2]  Additionally, a biparietal diameter of less than the 5th percentile was shown to be associated with 50% of patients with spina bifida. [17]

How to diagnose myelomeningocele?

Myelomeningocele is most often diagnosed in utero. The diagnosis can be suggested by the maternal serum alpha-fetoprotein (MSAFP) test. This common test detects alpha-fetoprotein (a protein produced by the fetus) in the mother’s blood. Alpha-fetoprotein normally stays within the developing fetus, so its presence in the mother’s blood sometimes indicates a problem like an open neural tube defect. The MSAFP is not a foolproof test, though. It can return both false positives (results that indicate the condition may be present, when really it is not) and false negatives (results that indicate that the condition is not present, when really it is).

What is a myelomeningocele?

Myelomeningocele is a form of spina bifida. Spina bifida itself is part of the umbrella category of spinal dysraphism. Other names for myelomeningocele include open spina bifida and spina bifida aperta.

What are the neurological problems associated with myelomeningocele?

These include leg weakness or paralysis, loss of sensation of the legs and feet, bowel, or bladder incontinence, Chiari II malformation (a protrusion of the back of the brain into the spinal column), and hydrocephalus (an imbalance of cerebrospinal fluid).

What is the term for a condition in which the spinal cord, its meninges, and the bones of?

Myelomeningocele is a condition in which the spinal cord, its meninges (membranes, or coverings), and the bones of the spinal column are not formed correctly.

How long does it take for a newborn to be treated for myelomeningocele?

Newborns with myelomeningocele are treated quickly to reduce the likelihood of infection or further trauma to the spinal cord. Within the first three days of life, a pediatric neurosurgeon closes the spinal cord and the back. Imaging studies may be performed to look for other possible abnormalities that may be addressed during the surgery.

Where is myelomeningocele located?

Myelomeningocele is visible at birth as a sac on a newborn’s back, centered over the spine. This sac is formed by the spinal cord and its membranes protruding through the bones of the spinal column. In some cases, the sac is covered with thin transparent skin, while in other cases, the membranes are exposed to the air. This puts the infant’s spinal cord and meninges at high risk for infection.

Can myelomeningocele be seen in the naked eye?

Other times, the condition is not recognized until birth. Myelomeningocele is visible to the naked eye, and can be diagnosed immediately in a newborn.