2025 ICD-10-CM code G37.4
Subacute necrotizing myelitis of the central nervous system.
Medical necessity for services related to subacute necrotizing myelitis should be supported by documentation of the diagnosis, symptoms, functional limitations, and treatment plan. This may include justification for diagnostic tests, medications, surgical interventions, or other therapies aimed at managing the condition and improving the patient's quality of life.
Diagnosis involves medical history, physical examination, and potentially laboratory tests (CSF analysis, EMG), imaging studies (CT myelography, spinal cord MRI), and biopsy. Treatment may include vascular surgery to address ischemia, corticosteroids to reduce inflammation, anticoagulants to prevent blood clots, and antibiotics if infection is suspected.
In simple words: This condition involves inflammation and tissue damage in the spinal cord, causing problems with sensation and movement. Symptoms may include numbness, tingling, weakness, paralysis, and loss of bowel/bladder control. The exact cause is often unknown, but it may be related to poor blood flow to the spinal cord.
A neurological disorder characterized by inflammation of the spinal cord, leading to necrosis (tissue death) and progressive loss of sensory and motor function. The cause is often unknown, but it may be linked to chronic ischemia of the spinal cord. Symptoms include paresthesias (numbness, tingling), progressive motor deficits (weakness, paralysis), and bowel/bladder incontinence.
Example 1: A patient presents with progressive weakness and numbness in their legs, along with bowel and bladder incontinence. After a thorough evaluation, including MRI and CSF analysis, they are diagnosed with subacute necrotizing myelitis., A patient with a history of vascular disease develops sudden onset of spinal cord dysfunction. Imaging reveals chronic ischemia and areas of necrosis, leading to a diagnosis of subacute necrotizing myelitis., A patient experiences tingling sensations and progressive difficulty walking. Following various tests, including a spinal cord biopsy, a diagnosis of subacute necrotizing myelitis is confirmed. Treatment focuses on managing symptoms and addressing any underlying causes.
Documentation should include detailed neurological examination findings, results of laboratory and imaging studies (CSF analysis, EMG, CT myelography, MRI), biopsy results (if performed), and any other relevant clinical findings supporting the diagnosis.
- Specialties:Neurology, Vascular Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital