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G93.49
ICD-10-CM
White Matter Disease

Find information on white matter disease, including its diagnosis, clinical documentation requirements, and accurate medical coding. Learn about leukoaraiosis, Binswanger's disease, and small vessel disease, as well as related terms like cerebral white matter changes and white matter hyperintensities. This resource covers diagnostic criteria, ICD-10 codes (I67.4, I67.89), imaging findings (MRI), and differential diagnosis considerations for healthcare professionals involved in the documentation and coding of white matter disease.

Also known as

Leukoaraiosis
White Matter Lesions

Related ICD-10 Code Ranges

Complete code families applicable to AAPC G93.49 Coding
I67.0-I67.9

Cerebral atherosclerosis

Narrowing of brain arteries reduces blood flow, damaging white matter.

G35

Multiple sclerosis

Immune system attacks myelin, disrupting nerve signals in the brain and spinal cord.

I69.3-I69.4

Sequelae of cerebrovascular disease

Long-term effects of stroke or other vascular events can include white matter damage.

G31.84

Other hereditary spastic paraplegia

Group of genetic disorders primarily affecting the spinal cord's white matter.

Documentation Best Practices

Documentation Checklist
  • White matter disease diagnosis, ICD code
  • Document lesion location, size, characteristics
  • Neurological exam findings (e.g., gait, reflexes)
  • Symptom onset, duration, progression documented
  • Imaging study results (MRI, CT) specified

Coding and Audit Risks

Common Risks
  • Unspecified Location

    Coding White Matter Disease without specifying the affected brain region can lead to claim denials and inaccurate data reporting. Use of unspecified codes may trigger audits.

  • Conflicting Documentation

    Discrepancies between imaging reports and clinical documentation regarding White Matter Disease severity or cause may pose a risk for compliant coding and reimbursement.

  • Lack of Etiology Specificity

    Failing to code the underlying cause of White Matter Disease, such as vascular or inflammatory, when documented, can lead to undercoding and inaccurate quality metrics.

Mitigation Tips

Best Practices
  • Accurate ICD-10 coding (I67.-) for WMD diagnosis.
  • Detailed clinical documentation of WMD symptoms & progression.
  • Regular neurological exams & MRI for early WMD detection.
  • Timely follow-up & care coordination for optimal WMD management.
  • Patient education on WMD risk factors & lifestyle modifications.

Clinical Decision Support

Checklist
  • Review MRI for white matter hyperintensities ICD-10 I67.89
  • Assess vascular risk factors: hypertension, smoking, diabetes
  • Evaluate for cognitive impairment: MoCA, MMSE
  • Consider alternative diagnoses: migraines, infections

Reimbursement and Quality Metrics

Impact Summary
  • White Matter Disease reimbursement hinges on accurate ICD-10 coding (I67.89, others) for maximum payment. Impacts: proper coding improves revenue cycle management.
  • Coding quality directly affects White Matter Disease MS-DRG assignment impacting hospital reimbursement. Impacts: correct MS-DRG maximizes case payment, reduces denials.
  • Precise documentation of White Matter Disease severity influences quality metrics reporting. Impacts: accurate reporting improves hospital quality scores, value-based care.
  • Timely and specific White Matter Disease coding improves claim processing efficiency. Impacts: faster reimbursement, minimized claim rejections, optimized A/R.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code G35 for unspecified WMD
  • Document lesion location, size
  • Use I67.8 for lacunar infarcts
  • Specify if ischemic or inflammatory
  • Confirm diagnosis with imaging reports

Documentation Templates

Patient presents with clinical manifestations suggestive of white matter disease.  Symptoms include [specific symptoms e.g., gait disturbance, cognitive impairment, urinary urgency, balance problems, visual changes].  Neurological examination reveals [specific findings e.g., hyperreflexia, spasticity, positive Babinski sign, decreased vibratory sensation].  Differential diagnosis includes small vessel disease, multiple sclerosis, leukodystrophies, and other causes of white matter changes.  Brain MRI with and without contrast demonstrates [specific MRI findings e.g., diffuse white matter hyperintensities, periventricular white matter lesions, subcortical lacunar infarcts, involvement of corpus callosum].  Based on the clinical presentation, neurological examination, and imaging findings, a diagnosis of white matter disease is suspected.  Further workup may include [e.g., cerebrospinal fluid analysis, evoked potentials, genetic testing] to evaluate for specific etiologies and refine the diagnosis.  The patient was counseled on the potential causes and prognosis of white matter disease.  Treatment plan includes [e.g., management of vascular risk factors such as hypertension, hyperlipidemia, and diabetes; physical therapy for gait and balance; occupational therapy for cognitive and functional impairments; medication management for symptom control].  Patient education focused on disease progression, lifestyle modifications, and available support resources. Follow-up appointment scheduled in [timeframe] to monitor symptom progression and treatment response.  ICD-10 code [appropriate ICD-10 code e.g., I67.89 for other cerebrovascular disease, G35 for multiple sclerosis, or other appropriate code depending on specific etiology] is considered.  Medical decision making complexity is [low, moderate, or high] given the [justification for complexity].
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