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ICD-10 Guide
ICD-10 CodesQ32.4

Q32.4

Billable

Other congenital malformations of bronchus

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

Code Description

ICD-10 Q32.4 is a billable code used to indicate a diagnosis of other congenital malformations of bronchus.

Key Diagnostic Point:

Congenital malformations of the bronchus encompass a variety of structural abnormalities that can significantly impact respiratory function in neonates and children. These malformations may include bronchial atresia, where a portion of the bronchus is absent or obstructed, leading to impaired airflow and potential lung hypoplasia. Other conditions such as tracheoesophageal fistula, which involves an abnormal connection between the trachea and esophagus, can also complicate respiratory function and require careful management. Choanal atresia, characterized by the blockage of the nasal passage, can lead to significant respiratory distress in newborns. Lung hypoplasia, a condition where the lungs are underdeveloped, often results from congenital anomalies affecting the bronchial tree and can lead to severe respiratory complications. Accurate diagnosis and coding of these conditions are crucial for appropriate treatment and management, as they can be associated with other congenital syndromes and chromosomal abnormalities.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of bronchial malformations
  • Potential association with other congenital anomalies
  • Need for detailed imaging studies for accurate diagnosis
  • Differentiation from acquired respiratory conditions

Audit Risk Factors

  • Inadequate documentation of the specific type of bronchial malformation
  • Failure to document associated congenital conditions
  • Misclassification of congenital malformations as acquired conditions
  • Lack of clarity in imaging reports

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include detailed descriptions of respiratory symptoms, imaging findings, and any interventions performed. Growth and developmental assessments are also critical.

Common Clinical Scenarios

Common scenarios include a newborn presenting with respiratory distress, requiring evaluation for choanal atresia or tracheoesophageal fistula, and management of lung hypoplasia.

Billing Considerations

Pediatric coders must be aware of the developmental implications of these conditions and the need for multidisciplinary care.

Genetics

Documentation Requirements

Genetic documentation should include family history, genetic testing results, and any syndromic associations with congenital malformations.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of congenital malformations or syndromes associated with bronchial anomalies.

Billing Considerations

Genetic coders should ensure accurate coding of chromosomal abnormalities that may co-occur with bronchial malformations.

Coding Guidelines

Inclusion Criteria

Use Q32.4 When
  • Follow official ICD
  • CM guidelines for coding congenital conditions, ensuring specificity in documentation and coding for associated anomalies
  • Use additional codes to capture related conditions when applicable

Exclusion Criteria

Do NOT use Q32.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

31500CPT Code

Intubation, endotracheal, emergency

Clinical Scenario

Used in cases of acute respiratory distress due to bronchial malformations.

Documentation Requirements

Document the indication for intubation and any associated respiratory assessments.

Specialty Considerations

Pediatric specialists should ensure that the procedure is linked to the diagnosis of bronchial malformation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital malformations, improving the accuracy of data collection and reimbursement processes. It emphasizes the need for detailed documentation to support the complexity of these conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital malformations, improving the accuracy of data collection and reimbursement processes. It emphasizes the need for detailed documentation to support the complexity of these conditions.

Reimbursement & Billing Impact

reimbursement processes. It emphasizes the need for detailed documentation to support the complexity of these conditions.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common congenital malformations of the bronchus?

Common congenital malformations include bronchial atresia, tracheoesophageal fistula, and lung hypoplasia. Each condition presents unique challenges in diagnosis and management, requiring careful coding to reflect the specific malformation.