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v1.0.0
ICD-10 Guide
ICD-10 CodesQ25.44

Q25.44

Billable

Congenital dilation of aorta

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q25.44 is a billable code used to indicate a diagnosis of congenital dilation of aorta.

Key Diagnostic Point:

Congenital dilation of the aorta refers to an abnormal widening of the aorta, which can occur at any segment of the vessel. This condition is often associated with other congenital heart defects and can lead to significant cardiovascular complications if not diagnosed and managed appropriately. The dilation may be isolated or part of a syndrome involving other vascular or cardiac anomalies. Patients may present with symptoms such as heart murmurs, chest pain, or signs of heart failure, depending on the severity of the dilation and associated defects. Diagnosis typically involves imaging studies such as echocardiography, MRI, or CT scans to assess the extent of the dilation and any coexisting anomalies. Treatment may include surgical intervention, especially in cases where the dilation poses a risk of rupture or significant hemodynamic compromise. Regular follow-up is essential to monitor the condition and manage any associated complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between isolated dilation and dilation associated with other congenital heart defects.
  • Need for precise documentation of associated anomalies.
  • Variability in clinical presentation and severity among patients.
  • Potential for multiple coding options based on associated conditions.

Audit Risk Factors

  • Inadequate documentation of associated congenital anomalies.
  • Failure to specify the location and severity of the dilation.
  • Misclassification of the condition as acquired rather than congenital.
  • Inconsistent coding practices across different healthcare settings.

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed pediatric history, including prenatal factors and family history of congenital heart disease.

Common Clinical Scenarios

Infants presenting with heart murmurs or failure to thrive due to undiagnosed congenital heart defects.

Billing Considerations

Consideration of growth and development milestones in relation to cardiac function.

Genetics

Documentation Requirements

Genetic testing results, family history of genetic syndromes, and any chromosomal abnormalities.

Common Clinical Scenarios

Patients with syndromic presentations such as Turner syndrome or Marfan syndrome, which may include aortic dilation.

Billing Considerations

Importance of genetic counseling for families with a history of congenital heart defects.

Coding Guidelines

Inclusion Criteria

Use Q25.44 When
  • Follow the official ICD
  • CM guidelines for coding congenital malformations, ensuring accurate documentation of the condition's severity and associated anomalies
  • Use additional codes to specify any related congenital heart defects

Exclusion Criteria

Do NOT use Q25.44 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

93306CPT Code

Echocardiography, transthoracic, real-time with interpretation and report

Clinical Scenario

Used for initial diagnosis and monitoring of congenital heart defects.

Documentation Requirements

Complete echocardiographic report detailing findings.

Specialty Considerations

Pediatric cardiology may require additional imaging studies.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    American Academy of Pediatrics Coding Resources

Coding & Billing References

  • •
    American Academy of Pediatrics Coding Resources

Frequently Asked Questions

What is the significance of coding congenital dilation of the aorta?

Accurate coding of congenital dilation of the aorta is crucial for appropriate management, treatment planning, and reimbursement. It helps in tracking the prevalence of congenital heart defects and ensuring that patients receive the necessary follow-up care.