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2025 ICD-10-CM code G95.1

Vascular myelopathy is a condition affecting the spinal cord due to problems with its blood supply.

Use additional codes to specify the underlying cause of the vascular myelopathy, such as hypertension, atherosclerosis, or trauma.Also, code any associated neurological deficits or complications.

Medical necessity is established by demonstrating the impact of the vascular myelopathy on the patient's function and quality of life. This includes documenting the neurological deficits, functional limitations, and need for treatment interventions such as surgery, medication, or rehabilitation.

Diagnosis and treatment are typically managed by neurologists, neurosurgeons, physiatrists, and other specialists depending on the specific cause and symptoms.

In simple words: Vascular myelopathy occurs when the spinal cord isn't getting enough blood, or if there's bleeding into the spinal cord. This can cause a variety of problems, like weakness, numbness, trouble walking, and problems with the bladder or bowels.

Vascular myelopathies (VM) are disorders of the spinal cord caused by ischemia (reduced blood flow) or hemorrhage (bleeding).Symptoms vary depending on the cause, location, and severity of the disruption of blood supply but can include pain, weakness, sensory loss, gait disturbances, bowel and bladder dysfunction, and sexual dysfunction.

Example 1: A patient presents with sudden onset of back pain and weakness in the legs after a fall. Imaging reveals a spinal cord infarction (blockage of blood supply), leading to a diagnosis of vascular myelopathy., A patient with a history of high blood pressure experiences gradual onset of leg numbness and difficulty walking.An MRI shows evidence of chronic ischemia in the spinal cord, consistent with vascular myelopathy., A patient with a spinal arteriovenous malformation (AVM) experiences sudden onset of severe back pain and paralysis. Angiography confirms bleeding from the AVM, causing compression and damage to the spinal cord, resulting in vascular myelopathy.

Documentation should include details of the patient's symptoms, neurological examination findings, imaging results (MRI, CT, angiography), and any other relevant diagnostic tests. It's crucial to document the cause, location, and severity of the vascular compromise to the spinal cord.

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