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Q03.0

Billable

Malformations of aqueduct of Sylvius

HCC Category Mapping

V28HCC 182Spinal Cord Disorders/Injuries
0.282
V24HCC 72Spinal Cord Disorders/Injuries
0.464
ESRDHCC 72Spinal Cord Disorders/Injuries
0.000
RxHCCHCC 155Myelitis and Encephalomyelitis
0.000

What This Code Means

A birth defect affecting the narrow passage in the brain that allows fluid to flow, which can lead to fluid buildup and increased pressure.

Coding Tips

  • This often results in hydrocephalus; document whether hydrocephalus is present and if shunting was performed
  • Specify if the malformation is stenosis, atresia, or other type if documented

Clinical Significance

Malformations of the aqueduct of Sylvius cause obstructive hydrocephalus, leading to increased intracranial pressure and potential brain damage. This congenital condition requires lifelong monitoring and often surgical intervention with shunt placement for cerebrospinal fluid diversion.

Documentation Requirements

  • Documentation of congenital malformation specifically affecting aqueduct of Sylvius
  • Evidence of hydrocephalus or cerebrospinal fluid flow obstruction
  • Neurological assessment and developmental status
  • Neuroimaging findings confirming aqueductal abnormality
  • Documentation of increased intracranial pressure signs if present
  • Assessment of associated neurological deficits
  • Treatment history including shunt placement or other interventions
  • Ongoing monitoring requirements and complications

Commonly Confused Codes

Code Hierarchy

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