Congenital mitral insufficiency
ICD-10 Q23.3 is a billable code used to indicate a diagnosis of congenital mitral insufficiency.
Congenital mitral insufficiency is a condition characterized by the improper closure of the mitral valve, leading to the backflow of blood from the left ventricle into the left atrium during systole. This condition can arise from various congenital malformations, including mitral valve dysplasia, which may involve abnormal valve structure or function. Congenital mitral insufficiency can lead to volume overload of the left atrium and subsequent heart failure if not diagnosed and managed appropriately. Symptoms may include respiratory distress, failure to thrive, and signs of heart failure in infants. Diagnosis typically involves echocardiography, which can visualize the mitral valve's structure and function, and assess the severity of the insufficiency. Management may include medical therapy, surgical intervention, or monitoring, depending on the severity of the condition and the presence of associated congenital heart defects such as atrial septal defects or ventricular septal defects. Early detection and intervention are crucial to improving outcomes in affected children.
Pediatric documentation must include growth parameters, developmental milestones, and specific symptoms related to heart failure.
Common scenarios include infants presenting with failure to thrive, respiratory distress, or heart murmurs detected during routine examinations.
Coders should be aware of the need for comprehensive documentation of associated congenital heart defects and their management.
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 mitral insufficiency.
Consideration of chromosomal abnormalities that may predispose to congenital heart defects is essential for accurate coding.
Used to assess the severity of congenital mitral insufficiency.
Echocardiographic findings must be documented clearly.
Pediatric cardiology may require specific echocardiographic views.
Common symptoms include respiratory distress, failure to thrive, and signs of heart failure such as tachypnea and poor feeding in infants.
