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ICD Hub / Developmental anomalies (Q00–Q99) / LA02 - Spina bifida
ICD-11

ICD-11 Codes
for LA02 - Spina bifida
Teodor Jurukovski January 1, 1970
Fact checked by: Teodor Jurukovski
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Understanding the Origins of Spina Bifida

Spina bifida, identified by the ICD-11 code LA02, is a complex birth defect believed to arise from a combination of genetic, nutritional, and environmental influences. Insufficient intake of folate (vitamin B-9) during pregnancy is a significant risk factor. Other contributing factors include a family history of neural tube defects, the use of certain medications like anti-seizure drugs, maternal diabetes, and obesity. Identifying these risk factors is key for preventative measures and early intervention strategies.

What is Spina Bifida (ICD-11 LA02)?

Spina bifida, classified under ICD-11 code LA02, is a neural tube defect where the spinal column does not close completely during the early stages of fetal development. This condition primarily affects the backbone and can also involve the spinal cord. It is the most common type of neural tube defect, with varying degrees of severity. The impact on an individual can range from minimal to profound, affecting physical function and health.

Coding and Documentation for Spina Bifida (LA02)

Accurate medical coding and documentation are essential for Spina bifida (ICD-11 code LA02). The official ICD-11 code for Spina bifida is LA02. This code serves as a primary identifier for this condition. When documenting, healthcare professionals should specify the type of spina bifida, such as spina bifida cystica or spina bifida aperta, and any associated conditions like hydrocephalus or incontinence, to ensure precise record-keeping and billing. Common clinical synonyms include neural tube defect and spinal dysraphism.

Recognizing the Signs of Spina Bifida

The manifestation of spina bifida (LA02) symptoms varies greatly depending on the location and severity of the spinal defect. In milder cases, known as spina bifida occulta, symptoms may be absent or subtle, such as a visible skin abnormality over the affected spinal area. More severe forms, such as myelomeningocele, can present with significant challenges, including paralysis in the lower limbs, difficulties with bladder and bowel control, and hydrocephalus. The intensity of signs is directly related to the level and extent of the spinal lesion.

How Spina Bifida is Diagnosed

The diagnosis of spina bifida (ICD-11 code LA02) can be made during pregnancy through prenatal screening. This typically involves ultrasound examinations and blood tests to measure alpha-fetoprotein levels. If not detected prenatally, the condition is usually apparent at birth. Further diagnostic imaging, such as MRI or spinal ultrasound, may be employed to assess the extent of the defect and any associated spinal cord involvement, particularly in cases of occult spinal dysraphism.

Managing Spina Bifida

The management of spina bifida (ICD-11 LA02) typically requires a comprehensive, multidisciplinary approach. For open forms, surgical intervention shortly after birth is often necessary to close the neural tube defect and protect the spinal cord. Long-term care focuses on addressing functional impairments, which may include physical therapy, mobility aids, and strategies for managing bladder and bowel control. Treatment also addresses potential complications such as hydrocephalus, often managed with shunts. The goal of management is to optimize health, function, and quality of life.

Frequently asked questions

What is the ICD-11 classification meaning of Spina bifida (LA02)?
Spina bifida (LA02) is classified under ICD-11 as a neural tube defect that affects the backbone and, sometimes, the spinal cord. It is characterized by the dorsal malclosure of vertebrae, associated with various degrees of spine defects, and can involve a pocket of skin containing meninges (meningocele) or spinal cord and meninges (myelomeningocele).
How are subtypes of Spina bifida classified under ICD-11 code LA02?
Under ICD-11 code LA02, subtypes of Spina bifida are classified as Spina bifida cystica (LA02.0), Spina bifida aperta (LA02.1), Other specified spina bifida (LA02.Y), and Spina bifida, unspecified (LA02.Z).
What conditions are excluded from the ICD-11 classification of Spina bifida (LA02)?
The ICD-11 classification of Spina bifida (LA02) explicitly excludes Arnold-Chiari malformation type I (LA07.4), Arnold-Chiari malformation type II (LA03), and Occult spinal dysraphism (LB73.0).
Can Spina bifida (LA02) be further specified using post-coordination in ICD-11?
Yes, Spina bifida (LA02) can be further specified using post-coordination in ICD-11 by adding stem and/or extension codes to provide additional detail, such as specific anatomical locations of the defect.
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