Other branchial cleft malformations
ICD-10 Q18.2 is a billable code used to indicate a diagnosis of other branchial cleft malformations.
Branchial cleft malformations are congenital anomalies resulting from improper development of the branchial apparatus during embryogenesis. These malformations can manifest as cysts, sinuses, or fistulas in the neck region, often located near the angle of the mandible. Other associated congenital conditions may include anomalies of the ear, face, and neck, such as cleft lip and palate, which can occur concurrently. Patients may present with swelling or infection of the cysts, leading to complications that require surgical intervention. The clinical significance of these malformations lies in their potential to cause functional and aesthetic issues, necessitating a multidisciplinary approach for management, including surgical correction and, in some cases, genetic counseling to assess for associated syndromes. Accurate coding is essential for appropriate treatment planning and reimbursement.
Detailed history of the child's growth and development, including any associated congenital conditions.
Management of a child presenting with a branchial cleft cyst and associated ear anomalies.
Consideration of developmental milestones and potential impacts on speech and swallowing.
Family history and genetic testing results to identify potential syndromic associations.
Genetic counseling for families with a history of branchial cleft malformations.
Awareness of chromosomal abnormalities that may co-occur with branchial cleft anomalies.
Used when a branchial cleft cyst is surgically removed.
Operative report detailing the procedure and findings.
Pediatric surgeons may have specific documentation requirements.
Common presentations include neck masses that may become infected or symptomatic, often located near the angle of the mandible. They can also be associated with ear anomalies and other congenital conditions.
