Neurology & Pain Management Coding Alert

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Diagnoses That Support CADASIL

Question: What diagnosis codes apply to CADASIL?

Iowa Subscriber

Answer: CADASIL is an acronym for Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy. Appropriate diagnosis codes include 290.4x (Vascular dementia) and 290.41 (Vascular dementia with delirium).

CADASIL is a disease of young adults, with most patients showing symptoms before age 60. Symptoms include migraines with or without an aura, mood disturbances, focal neurologic deficits, strokes, and dementia. For more information on CADASIL, log on to www.medstudents.com.br/patoclin/artigos/
cadasil/cadasile.htm.

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