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Neurology & Pain Management Coding Alert

Reader Question:

Report Cerebellar Gangliocytoma as Benign Tumor

Published on Wed May 23, 2012

Question: How do we report Lhermitte-Duclos in ICD-9?Alaska SubscriberAnswer: You may report code 215.0 (Other benign neoplasm of connective and other soft tissue of head face and neck) for this condition.Explanation: Lhermitte-Duclos disease (LDD) is a dysplastic gangliocytoma of the cerebellum. It is essentially a slow growing benign tumor of the cerebellum. There is a diffuse hypertrophy of the stratum granulosum of the cerebellum. LDD is characterized by abnormal development and enlargement of the cerebellum, and increased intracranial pressure. Symptoms may include headache, nausea, cerebellar dysfunction, hydrocephalus, ataxia (problems with movement and coordination), and visual disturbances.
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