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Thread: CADASILdx

  1. #1

    Default CADASILdx

    AAPC: Back to School
    I have a doctor that wants me to find a diagnosis code for this and I have been unable to locate anything.. the message I received was to find a code for CADASIL (inherited CNS arteriopathy).....

    The chart note reads: "New dx CADASIL in past month. Extensive ischemic changes on MRI"

    Patient also has a family history:
    "Father: deceased CADASIL (inherited arteriopathy with dementia and leukoencephalopathy)"
    " Brother(s): CADASIL"

    Can anyone help with this please??

  2. #2

    Default Re:ICD/CADASIL

    CADASIL (Cerebral Autosomal Dominant Arteriopathy With Subcortical Infarcts and Leukoencephalopathy)
    CADASIL is caused by a mutation in the NOTCH3 gene on chromosome 19q12
    I’d code: 758.5 + 437.1+V19.5

    Per ICD guideline chap 14 congenital Anomalies
    When a congenital anomaly does not have a unique code assignment, assign additional code( s) for any manifestations that are present.

    Anomaly / chromosome/ Autosomes NEC= 758.5
    MANIFESTATION (Extensive ischemic changes on MRI)= 437.1

    F/H congenital anomaly =V19.5

    Last edited by msrd_081002; 12-10-2010 at 08:38 AM.

  3. #3

    Default CADASIL in ICD-10

    Does anyone know if there is a diagnosis code for CADASIL syndrome in ICD-10? Thank you!

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