Coarctation of aorta
ICD-10 Q25.1 is a billable code used to indicate a diagnosis of coarctation of aorta.
Coarctation of the aorta is a congenital heart defect characterized by a narrowing of the aorta, typically occurring just distal to the left subclavian artery. This condition can lead to significant complications due to the increased workload on the left ventricle and reduced blood flow to the lower body. Symptoms may vary based on the severity of the coarctation and the age of the patient, with neonates often presenting with heart failure, poor feeding, and failure to thrive. In older children, symptoms may include hypertension in the upper body, diminished pulses in the lower extremities, and exercise intolerance. Diagnosis is typically made through echocardiography, chest X-ray, or MRI, which can reveal the characteristic narrowing and collateral circulation. Treatment often involves surgical intervention or balloon angioplasty to relieve the obstruction and restore normal blood flow. Long-term follow-up is essential to monitor for potential complications, including hypertension and re-coarctation.
Documentation should include detailed clinical findings, imaging results, and treatment plans. Growth and developmental assessments are also crucial.
Common scenarios include newborns presenting with heart failure symptoms, older children with hypertension, and routine follow-ups post-surgery.
Coders should be aware of the age-specific manifestations and the potential for associated congenital heart defects.
Genetic counseling notes and family history should be documented, especially if there is a suspicion of syndromic associations.
Scenarios may include genetic testing for syndromes associated with congenital heart defects, such as Turner syndrome.
Consideration of chromosomal abnormalities that may co-occur with coarctation of the aorta is essential for accurate coding.
Used during surgical intervention for coarctation.
Operative report detailing the procedure and any complications.
Pediatric cardiology may have specific documentation needs.
Common symptoms include difficulty breathing, poor feeding in infants, and high blood pressure in older children. Some may also experience diminished pulses in the lower extremities.
