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v1.0.0
ICD-10 Guide
ICD-10 CodesQ25.47

Q25.47

Billable

Right aortic arch

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

Code Description

ICD-10 Q25.47 is a billable code used to indicate a diagnosis of right aortic arch.

Key Diagnostic Point:

Right aortic arch is a congenital malformation characterized by the aorta arching to the right side of the body instead of the left. This condition can occur in isolation or in conjunction with other congenital heart defects, such as ventricular septal defects, atrial septal defects, or tetralogy of Fallot. The right aortic arch may lead to compression of the trachea and esophagus, resulting in respiratory and feeding difficulties in infants. Diagnosis is typically made via echocardiography, MRI, or CT imaging, which can visualize the aortic arch's position and any associated anomalies. Management may involve surgical intervention, especially if the right aortic arch is causing significant symptoms or is associated with other critical congenital heart defects. Understanding the implications of this condition is crucial for pediatric care, as it can significantly impact the child's growth and development.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in associated congenital heart defects
  • Need for precise imaging documentation
  • Potential for misdiagnosis with other aortic arch anomalies
  • Complexity in surgical coding if intervention is required

Audit Risk Factors

  • Inaccurate documentation of associated congenital anomalies
  • Failure to specify the type of right aortic arch
  • Misalignment with surgical procedures performed
  • Inconsistent use of codes for related conditions

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed clinical notes on symptoms, imaging results, and management plans are essential.

Common Clinical Scenarios

Infants presenting with respiratory distress or feeding difficulties due to a right aortic arch.

Billing Considerations

Consideration of growth and developmental milestones in children with congenital heart defects.

Genetics

Documentation Requirements

Genetic testing results and family history documentation are critical for understanding potential syndromic associations.

Common Clinical Scenarios

Cases where right aortic arch is part of a genetic syndrome, requiring genetic counseling.

Billing Considerations

Awareness of chromosomal abnormalities that may co-occur with congenital heart defects.

Coding Guidelines

Inclusion Criteria

Use Q25.47 When
  • Follow the official ICD
  • CM guidelines for coding congenital malformations, ensuring accurate documentation of associated conditions and symptoms

Exclusion Criteria

Do NOT use Q25.47 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

93306CPT Code

Echocardiography, transthoracic, real-time with interpretation

Clinical Scenario

Used for initial diagnosis and monitoring of right aortic arch.

Documentation Requirements

Detailed report of echocardiographic findings.

Specialty Considerations

Pediatric cardiology may require specific imaging protocols.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital heart defects, including right aortic arch, 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 heart defects, including right aortic arch, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    Congenital Heart Defects: A Guide for Parents

Coding & Billing References

  • •
    Congenital Heart Defects: A Guide for Parents

Frequently Asked Questions

What are the common symptoms of right aortic arch?

Common symptoms include respiratory distress, feeding difficulties, and failure to thrive in infants. Symptoms may vary based on associated congenital heart defects.