G37.3
Acute transverse myelitis in demyelinating disease of central nervous system
Clinical Classification Guidelines
Inclusion Terms
- Acute transverse myelitis NOS
- Acute transverse myelopathy
Excludes Type 1
- acute flaccid myelitis (G04.82)
- multiple sclerosis (G35-)
- neuromyelitis optica [Devic] (G36.0)
Medical Intelligence & Overview
Acute transverse myelitis (ATM) is a neurological condition characterized by inflammation across one segment of the spinal cord. This inflammation disrupts the normal functioning of the spinal cord, leading to a range of symptoms that can develop rapidly. Often associated with demyelinating diseases of the central nervous system, ATM can significantly impact mobility, sensation, and bladder or bowel control. Recognizing the signs early is important for prompt medical evaluation and management.
Causes & Symptoms
Clinical Causes: Demyelinating diseases such as multiple sclerosis or neuromyelitis optica Viral infections including herpes zoster, herpes simplex, and Epstein-Barr virus Bacterial infections like syphilis and Lyme disease Post-infectious immune responses following respiratory or gastrointestinal infections Vaccination reactions in rare cases Autoimmune conditions and connective tissue disorders Other unknown (idiopathic) causes
Key Symptoms: Sudden or rapid onset of weakness or paralysis in the legs or arms Sensory disturbances such as numbness, tingling, or loss of sensation Pain in the back, neck, or along the limbs Changes in bladder or bowel function, including incontinence or retention Muscle spasms or stiffness Difficulty walking or maintaining balance In some cases, fever or malaise may be present
Diagnostic & Treatment
Diagnosis Path: - Blood tests to rule out other causes and identify underlying conditions
Treatment Protocols: - Close monitoring and follow-up for potential relapse or progression
Clinical Advice & FAQs
Billing Guidance
Is G37.3 a billable ICD-10 code?
Yes, G37.3 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report G37.3?
Clinical documentation must specify the nature of Acute transverse myelitis in demyelinating disease of central nervous system and any associated comorbidities for accurate reporting.
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