Webbing of neck
ICD-10 Q18.3 is a billable code used to indicate a diagnosis of webbing of neck.
Webbing of the neck, also known as cervical webbing or pterygium colli, is a congenital malformation characterized by the presence of excess skin or tissue that connects the neck to the shoulders. This condition can vary in severity and may be associated with other congenital anomalies, particularly those affecting the musculoskeletal and cardiovascular systems. The webbing can restrict neck movement and may be accompanied by other facial deformities or syndromes, such as Turner syndrome or Noonan syndrome. Clinical evaluation often includes physical examination and imaging studies to assess the extent of the webbing and any associated anomalies. Treatment may involve surgical intervention to improve neck mobility and cosmetic appearance. Accurate coding requires thorough documentation of the condition and any related congenital anomalies, as well as consideration of the patient's overall health status and any syndromic associations.
Documentation should include a detailed physical examination, family history, and any associated congenital conditions. Growth and developmental assessments are also crucial.
Common scenarios include newborn assessments revealing neck webbing, referrals for surgical evaluation, and follow-up visits post-surgery.
Consideration of syndromic associations is essential, as many children with neck webbing may have other congenital anomalies.
Genetic counseling notes should document family history, genetic testing results, and any syndromic associations. Detailed phenotypic descriptions are necessary.
Scenarios include genetic evaluations for syndromes associated with neck webbing, such as Turner syndrome, and discussions regarding recurrence risks.
Genetic implications and the need for multidisciplinary care should be emphasized, particularly in cases with syndromic features.
Used when surgical intervention is performed to correct neck webbing.
Operative reports detailing the procedure and any complications.
Pediatric surgical documentation should include pre-operative assessments and post-operative follow-up.
Accurate coding of Q18.3 is crucial for proper patient management, resource allocation, and understanding the prevalence of congenital conditions. It also aids in research and the development of treatment protocols for affected individuals.
