Discordant atrioventricular connection
ICD-10 Q20.5 is a billable code used to indicate a diagnosis of discordant atrioventricular connection.
Discordant atrioventricular connection is a congenital heart defect characterized by an abnormal connection between the atria and ventricles of the heart. In this condition, the right atrium connects to the left ventricle and the left atrium connects to the right ventricle, leading to inefficient blood flow and oxygenation. This malformation can result in significant hemodynamic changes, often leading to heart failure, cyanosis, and other complications. Patients may present with symptoms such as difficulty breathing, fatigue, and poor growth. Diagnosis typically involves echocardiography, which can visualize the abnormal connections and assess the overall structure and function of the heart. Management often requires surgical intervention to correct the connections and improve blood flow, and ongoing follow-up is essential to monitor for potential complications. Discordant atrioventricular connection is often associated with other congenital heart defects, making comprehensive evaluation and management critical.
Pediatric documentation should include growth metrics, developmental milestones, and specific symptoms related to cardiac function.
Common scenarios include newborns presenting with cyanosis, failure to thrive, or heart murmurs detected during routine examinations.
Coders must ensure that all congenital anomalies are documented, as they may influence treatment and coding.
Genetic documentation should include family history, genetic testing results, and any syndromic associations with congenital heart defects.
Scenarios may involve genetic counseling for families with a history of congenital heart defects or syndromes associated with discordant connections.
Consideration of chromosomal abnormalities that may coexist with congenital heart defects is crucial for accurate coding.
Used in cases where surgical intervention is required for discordant connections.
Detailed operative report and pre-operative assessment.
Pediatric cardiology specialists should document the specifics of the repair.
Discordant atrioventricular connection is significant due to its impact on hemodynamics and the potential for serious complications if not treated. Early diagnosis and intervention are crucial for improving outcomes.
