2025 ICD-10-CM code G90.01
(Active) Effective Date: N/A Diseases of the nervous system - Other disorders of the nervous system 6 Feed
Carotid sinus syncope, a temporary loss of consciousness due to pressure on the carotid sinus in the neck. This can be triggered by head movements, tight collars, or tumors.
Medical necessity for further investigation and management of carotid sinus syncope is established by the presence of syncopal or presyncopal episodes potentially related to carotid sinus stimulation, confirmed by physical exam findings or diagnostic tests.The need for interventions like medication, pacemaker, or surgery is justified by the frequency and severity of symptoms impacting the patient's quality of life.
Diagnosis of carotid sinus syncope involves evaluating medical history, symptoms, and a physical exam, which might include carotid sinus massage.Further tests such as blood work and ECG may be conducted to exclude other conditions.Management focuses on avoiding triggers, like tight collars and sudden head movements, and patient education. Medications or pacemaker implantation are considered in some cases, and surgery may be necessary if a tumor is involved.
In simple words: Carotid sinus syncope is when someone faints because of pressure on a sensitive area in their neck.Turning the head, tight collars, or growths pressing on this area can cause it. This sensitive area helps control blood pressure, and when triggered, can cause a sudden drop in blood pressure leading to fainting.
Carotid sinus syncope, also known as carotid sinus syndrome, is a condition characterized by a temporary loss of consciousness due to external pressure or stimulation of the carotid sinus, located in the neck at the branching of the carotid arteries. This sinus contains baroreceptors that regulate blood pressure.When stimulated, these receptors can trigger a sudden drop in blood pressure and heart rate, leading to syncope. Various factors can cause this stimulation, such as head turning, tight collars, tumors pressing on the sinus, or even shaving.Carotid sinus syncope is more common in older males with cardiovascular disease but can occur at any age.
Example 1: An elderly man with a history of hypertension experiences syncope while shaving. Upon examination, carotid sinus massage reproduces the syncopal episode, suggesting carotid sinus hypersensitivity., A middle-aged woman faints after turning her head quickly. Diagnostic tests reveal no other underlying cause, and carotid sinus massage induces presyncope, leading to a diagnosis of carotid sinus syncope., A patient with a neck tumor presents with recurrent syncope. Imaging studies confirm the tumor's location near the carotid sinus, and subsequent carotid sinus massage triggers syncope, indicating that the tumor is causing the episodes.
Documentation should include details of the syncopal events (duration, frequency, triggers), associated symptoms (dizziness, lightheadedness), results of the carotid sinus massage, and any other diagnostic tests performed (ECG, blood tests, imaging studies). Any relevant medical history, such as cardiovascular disease, should also be documented.
- Payment Status: Active
- Specialties:Cardiology, Neurology, Internal Medicine
- Place of Service:Office, Inpatient Hospital, Emergency Room - Hospital, Outpatient Hospital