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Spastic quadriplegic cerebral palsy as a sequela of traumatic brain injury

I am trying to correctly code for a pt who has been diagnosed variously with cerebral palsy following MVA, traumatic brain damage following MVA, spastic paraplegia, etc. I’m pretty sure I need the S06.2X9S with a condition code indicating MVA for the 2nd dx; my question is whether I can use G80.0 as the primary – my reading seems to indicate that the code is for a congenital condition, whereas this patient’s condition is post-traumatic. Any input would be greatly appreciated.

Janet Beck, CPC

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Medical Symptom Checker For Bell’s Palsy

Bell’s Palsy is described as a quick onset of paralysis of one side of the face. While this can be a very scary medical condition for the person experiencing the paralysis, the condition is generally temporary and in the majority of cases a full recovery is expected. This write-up provided a concise overview of the medical symptoms diagnosis and causes of Bell’s Palsy as well as what you can do to help the recovery process.

Bell’s Palsy

Signs and symptoms include paralysis of one side of the person’s face that commences suddenly, quite possibly overnight, or sets in over 1-2 days. The eyelid of the impacted side can not close up fully and the edge of the mouth could droop. The lack of control over the facial muscles can cause the particular person to drool and make it hard for them to eat and drink. Discomfort is generally sensed behind or in front of the ear on the impacted side and the person may get headaches. The severity of the paralysis could range from mild to severe.

The cause is not totally comprehended and there’s no established link to physical trauma, but there may be a link in a number of instances to a herpes infection or an autoimmune disorder. The paralysis results from a problem, such as swelling, of the 7th cranial nerve (a.k.a. the facial nerve), which is the nerve that controls movement of the muscular tissues of the face.

Bell’s Palsy is diagnosed by first noticing the decline of movement on one side of the face leaving it to seem flat and expressionless. A physical exam , Magnetic Resonance Imaging (MRI), CT scan, electromyography (EMG), or nerve conduction test may be necessary to fully rule out much more critical causes of facial paralysis.

As for treatment, recuperation is generally spontaneous but slow, requiring a lot of weeks or months. A full recuperation is anticipated in 60-80% of cases but lasting alterations can remain if the paralysis was severe. The problem is not life threatening.

Proper care needs to be used to guard the eye of the impacted side from soreness and dryness due to the reality that the eyelid does not close up totally. Corticosteroids medicines may be utilized to lower swelling of the facial nerve. Eye drops may help guard the eye through the day and an eye patch ought to be put on through sleep.

A warm, moist cloth may help control pain. As muscle groups get back strength, a particular person can begin facial exercises such as making faces in a mirror to regain control

Did you ever wish you had a simple tool that could walk you through your symptoms and lead you to an online diagnosis? Get a good idea of what your symptoms mean by simply answering yes or no using this Medical Symptom Diagnosis Tool.

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