Congenital malformation of orbit
ICD-10 Q10.7 is a billable code used to indicate a diagnosis of congenital malformation of orbit.
Congenital malformation of the orbit refers to a range of structural anomalies affecting the bony and soft tissue components surrounding the eye. These malformations can lead to significant visual impairment and may be associated with other congenital conditions. Common presentations include anophthalmia (absence of one or both eyes), microphthalmia (abnormally small eyes), and orbital deformities that can affect ocular alignment and function. These conditions often arise from genetic factors, teratogenic exposures, or disruptions during embryonic development. The orbit's malformation can also be linked to syndromic conditions, such as craniosynostosis syndromes or chromosomal abnormalities like trisomy 13 or 18. Accurate diagnosis typically involves a comprehensive clinical examination, imaging studies, and genetic testing when indicated. Management may require a multidisciplinary approach, including pediatric ophthalmology, genetics, and surgical intervention to address functional and aesthetic concerns.
Detailed clinical notes including family history, developmental milestones, and any associated anomalies.
Pediatric patients presenting with visual impairment, referral for genetic evaluation, or surgical intervention for orbital deformities.
Consideration of developmental delays and the need for multidisciplinary care in managing complex cases.
Genetic testing results, family pedigree, and detailed descriptions of any syndromic associations.
Patients with congenital malformations undergoing genetic counseling, evaluation for syndromic conditions, or prenatal diagnosis.
Understanding the implications of chromosomal abnormalities and their potential impact on management and prognosis.
Used in cases where congenital malformations lead to ptosis requiring surgical intervention.
Detailed operative notes and pre-operative assessments.
Pediatric ophthalmology should document the rationale for surgery.
Documentation should include a detailed clinical assessment of the malformation, any associated congenital anomalies, genetic testing results if applicable, and a clear treatment plan. Ensure that laterality is specified when relevant.
Congenital conditions are present at birth and typically arise from genetic or environmental factors during pregnancy. Acquired conditions develop after birth due to injury or disease. Clear documentation of the patient's history and clinical findings is essential for accurate coding.
