2025 ICD-10-CM code G36.0
Neuromyelitis optica (Devic's disease). Demyelination in optic neuritis.
Medical necessity for treatment is based on the severity of symptoms, the risk of further attacks, and the potential for disability. Treatment aims to reduce inflammation, manage symptoms, and prevent disease progression.
Diagnosis is based on medical history, symptoms, neurological and physical examination, specific antibody tests of blood and cerebrospinal fluid, and MRI. Treatment includes corticosteroids, plasma exchange, and immunosuppressants to manage symptoms and prevent future attacks.
- Chapter VI: Diseases of the nervous system (G00-G99)
- G35-G37 Demyelinating diseases of the central nervous system
In simple words: Neuromyelitis optica (NMO) is a rare disease that affects the nervous system.It causes inflammation and damage to the covering of the optic nerve and spinal cord.This can lead to problems with vision, and weakness, numbness, or paralysis in the arms and legs.
Neuromyelitis optica (NMO), also known as Devic’s disease, is a rare inflammatory demyelinating disease of the central nervous system characterized by attacks of uni- or bilateral optic neuritis and acute myelitis.It primarily affects the optic nerves and spinal cord.
Example 1: A patient presents with sudden onset of vision loss in one eye, accompanied by pain with eye movement.MRI reveals inflammation of the optic nerve.Antibody testing confirms the diagnosis of NMO., A patient experiences weakness and numbness in their legs, progressing to paralysis.Spinal cord MRI shows inflammation and demyelination.NMO is diagnosed based on clinical findings and antibody tests., A patient with a previous diagnosis of multiple sclerosis experiences new symptoms, including intractable hiccups and vomiting.Further investigation reveals the presence of NMO antibodies, leading to a revised diagnosis.
Documentation should include: signs and symptoms, medical history including prior infections or autoimmune conditions, results of neurological and physical examinations, antibody test results, MRI findings, and treatment plan.
- Specialties:Neurology, Ophthalmology
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office