ICD-10-CM Billable Code

E75.243

Niemann-Pick disease type D

Clinical Classification Guidelines

Medical Intelligence & Overview

Niemann-Pick Disease Type D is a rare inherited disorder that affects the body's ability to break down specific fatty substances. This accumulation of fats in various organs can lead to progressive health issues. Classified under ICD-10 Code E75.243, it is one of several types of Niemann-Pick disease, distinguished by its unique genetic and clinical features.

Causes & Symptoms

Clinical Causes: Genetic mutations affecting the NPCD1 gene Inheritance passed from parents to children in an autosomal recessive pattern

Key Symptoms: Enlarged liver and spleen (hepatosplenomegaly) Progressive neurological decline Difficulty walking or maintaining balance Difficulty swallowing or feeding issues in infants Vision problems, including impaired eye movements Seizures Delayed developmental milestones

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a combination of clinical evaluation and laboratory tests, including blood tests to detect abnormal lipid levels, genetic testing to identify mutations, and imaging studies like MRI to assess organ enlargement. Sometimes, a biopsy of affected tissues is performed for microscopic examination and enzyme activity testing.

Treatment Protocols: Currently, there is no definitive cure for Niemann-Pick Disease Type D. Management focuses on alleviating symptoms and improving quality of life. Approaches might include medications to control neurological symptoms, supportive therapies such as physical and occupational therapy, and regular monitoring of organ health. Enrollment in clinical trials exploring new treatments may also be an option.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is E75.243 a billable ICD-10 code?
Yes, E75.243 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report E75.243?
Clinical documentation must specify the nature of Niemann-Pick disease type D and any associated comorbidities for accurate reporting.

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