Congenital pulmonary valve stenosis
ICD-10 Q22.1 is a billable code used to indicate a diagnosis of congenital pulmonary valve stenosis.
Congenital pulmonary valve stenosis is a heart defect characterized by a narrowing of the pulmonary valve, which impedes blood flow from the right ventricle to the pulmonary artery. This condition can lead to increased pressure in the right ventricle and can cause right ventricular hypertrophy over time. The severity of the stenosis can vary, with some patients experiencing mild symptoms while others may present with significant cardiac issues. Diagnosis is typically made through echocardiography, which can visualize the degree of narrowing and assess the function of the right ventricle. Treatment options may include balloon valvuloplasty or surgical intervention, depending on the severity of the stenosis and the presence of associated congenital heart defects. Congenital pulmonary valve stenosis can occur in isolation or as part of more complex congenital heart defects, such as tetralogy of Fallot or other malformations of the circulatory system. Early detection and management are crucial to prevent complications such as heart failure or arrhythmias.
Pediatric documentation should include growth parameters, developmental milestones, and specific symptoms related to cardiac function.
Common scenarios include routine pediatric check-ups where heart murmurs are detected, or referrals for cardiology evaluation due to symptoms like cyanosis or exertional dyspnea.
Consideration must be given to the age of the patient and the potential for growth-related changes in cardiac function.
Genetic documentation should include family history of congenital heart defects and any genetic syndromes associated with pulmonary valve stenosis.
Scenarios may involve genetic counseling for families with a history of congenital heart disease or syndromic presentations.
Genetic testing results should be documented clearly to support any associated chromosomal abnormalities.
Used to evaluate the severity of pulmonary valve stenosis.
Documentation must include the indication for the echocardiogram and findings related to the pulmonary valve.
Pediatric cardiologists may have specific protocols for echocardiographic evaluations.
The primary treatment for congenital pulmonary valve stenosis is often balloon valvuloplasty, which is a minimally invasive procedure that widens the narrowed valve. In more severe cases, surgical intervention may be necessary.
