2025 ICD-10-CM code G11.4
(Valid) Effective Date: N/A Diseases of the nervous system - Systemic atrophies primarily affecting the central nervous system 6 Feed
Hereditary spastic paraplegia.
Medical necessity for treatments like physical therapy, medications, and assistive devices is based on the impact of HSP on the patient's functional abilities and quality of life.The documentation should clearly demonstrate the need for these interventions to improve mobility, manage symptoms, and prevent complications.
Diagnosis involves physical exam, neurological assessment, and imaging (MRI) to assess the spinal cord and brain. Genetic testing may confirm the diagnosis.Management focuses on supportive care including physical therapy, assistive devices (e.g., walkers, wheelchairs), and medications to manage spasticity and bladder symptoms.
In simple words: Hereditary spastic paraplegia (HSP) is a group of inherited conditions causing progressive stiffness and weakness in the leg muscles. This makes walking difficult, and symptoms worsen over time. The simple form affects mainly the legs, while the complicated form can also affect vision, thinking skills, and other body functions.
Hereditary spastic paraplegia (HSP), also known as familial spastic paraplegia or Strumpell-Lorrain disease, is a group of genetic disorders characterized by progressive muscle stiffness (spasticity) and weakness in the lower extremities.The "pure" form of HSP primarily involves lower limb weakness and spasticity. "Complicated" HSP involves additional neurological symptoms like peripheral neuropathy, muscle atrophy, or cognitive impairment.
Example 1: A 30-year-old patient presents with progressive difficulty walking and stiffness in their legs.An MRI reveals degeneration of the corticospinal tracts, and genetic testing confirms a diagnosis of HSP., A child exhibits a "scissoring" gait and delayed motor development.Further evaluation and genetic testing reveals a complicated form of HSP with associated cognitive impairment., A patient with known HSP experiences increasing spasticity in their legs and urinary urgency. They are referred to physical therapy and prescribed medication to manage these symptoms.
Documentation should include: Family history of neurological disorders, Detailed description of symptoms (onset, progression, severity), Results of neurological examination (muscle strength, reflexes, spasticity), Imaging findings (MRI), Genetic testing results.
- Specialties:Neurology, Genetics, Physical Medicine and Rehabilitation
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Comprehensive Outpatient Rehabilitation Facility