ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesQ03.1

Q03.1

Billable

Atresia of foramina of Magendie and Luschka

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q03.1 is a billable code used to indicate a diagnosis of atresia of foramina of magendie and luschka.

Key Diagnostic Point:

Atresia of the foramina of Magendie and Luschka is a congenital malformation characterized by the absence or closure of the foramina that allow cerebrospinal fluid (CSF) to flow from the fourth ventricle into the cisterna magna and the subarachnoid space. This condition can lead to obstructive hydrocephalus, as the normal drainage of CSF is impeded. Patients may present with symptoms such as increased head circumference, developmental delays, and neurological deficits. The condition is often associated with other congenital malformations of the nervous system, including spina bifida, anencephaly, and holoprosencephaly. Diagnosis is typically made through imaging studies such as MRI or CT scans, which can reveal the absence of the foramina and any associated ventricular enlargement. Management may involve surgical intervention to create alternative pathways for CSF drainage, alongside supportive care for associated neurological issues.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between similar congenital malformations
  • Need for detailed imaging documentation
  • Potential for associated conditions complicating coding
  • Variability in clinical presentation

Audit Risk Factors

  • Inadequate documentation of imaging studies
  • Failure to report associated congenital conditions
  • Misinterpretation of clinical symptoms
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include growth parameters, developmental milestones, and neurological assessments.

Common Clinical Scenarios

Common scenarios include infants presenting with signs of hydrocephalus, requiring evaluation for congenital malformations.

Billing Considerations

Consideration must be given to the age of the patient and the potential for evolving symptoms over time.

Genetics

Documentation Requirements

Genetic documentation should include family history, genetic testing results, and any syndromic associations.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of congenital malformations.

Billing Considerations

Genetic factors may play a significant role in the occurrence of congenital malformations, necessitating thorough documentation.

Coding Guidelines

Inclusion Criteria

Use Q03.1 When
  • Follow the official ICD
  • CM coding guidelines for congenital malformations, ensuring accurate documentation of the condition's specifics and any associated diagnoses

Exclusion Criteria

Do NOT use Q03.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

62270CPT Code

Insertion of ventricular access device

Clinical Scenario

Used in cases of hydrocephalus due to atresia requiring CSF diversion.

Documentation Requirements

Document indication for procedure, imaging findings, and pre-operative assessments.

Specialty Considerations

Neurosurgical documentation must detail the rationale for intervention.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital malformations, improving the accuracy of data collection and reimbursement processes for conditions like atresia of foramina.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital malformations, improving the accuracy of data collection and reimbursement processes for conditions like atresia of foramina.

Reimbursement & Billing Impact

reimbursement processes for conditions like atresia of foramina.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common symptoms of atresia of foramina of Magendie and Luschka?

Common symptoms include increased head circumference, developmental delays, irritability, and signs of increased intracranial pressure such as vomiting and lethargy.