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v1.0.0
ICD-10 Guide
ICD-10 CodesQ33.0

Q33.0

Billable

Congenital cystic lung

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

Code Description

ICD-10 Q33.0 is a billable code used to indicate a diagnosis of congenital cystic lung.

Key Diagnostic Point:

Congenital cystic lung refers to a developmental anomaly characterized by the presence of cystic lesions in the lung tissue, which can lead to respiratory distress in neonates. These cysts can vary in size and number and may be associated with other congenital anomalies. The condition can arise from abnormal lung development during the embryonic stage, leading to the formation of cysts instead of normal lung parenchyma. Congenital cystic lung can be classified into several types, including congenital lobar emphysema and bronchogenic cysts. Clinical presentation may include respiratory distress, cyanosis, and failure to thrive, necessitating prompt evaluation and management. Diagnosis is typically confirmed through imaging studies such as chest X-rays or CT scans, which reveal the cystic structures. Treatment may involve surgical intervention, particularly if the cysts are large or symptomatic. The prognosis varies depending on the size and location of the cysts and the presence of associated anomalies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of symptoms
  • Potential association with other congenital anomalies
  • Need for imaging studies for accurate diagnosis
  • Differentiation from other respiratory conditions

Audit Risk Factors

  • Inadequate documentation of associated congenital anomalies
  • Failure to specify the type of cystic lung condition
  • Misclassification of respiratory distress as a primary diagnosis
  • Lack of imaging documentation to support diagnosis

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed clinical notes on respiratory status, imaging results, and any associated congenital conditions.

Common Clinical Scenarios

Neonates presenting with respiratory distress, requiring evaluation for congenital lung anomalies.

Billing Considerations

Ensure accurate coding of any associated congenital conditions and document the clinical rationale for surgical interventions.

Genetics

Documentation Requirements

Genetic testing results, family history of congenital anomalies, and any syndromic associations.

Common Clinical Scenarios

Cases where congenital cystic lung is part of a genetic syndrome requiring counseling and management.

Billing Considerations

Consider the implications of genetic syndromes that may present with respiratory anomalies and ensure proper coding of associated genetic conditions.

Coding Guidelines

Inclusion Criteria

Use Q33.0 When
  • Follow the official ICD
  • CM guidelines for coding congenital malformations, ensuring specificity in documentation and coding of associated conditions
  • Use additional codes as necessary to capture the full clinical picture

Exclusion Criteria

Do NOT use Q33.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

32551CPT Code

Thoracotomy with excision of lung cyst

Clinical Scenario

Used in cases where surgical intervention is required for symptomatic congenital cystic lung.

Documentation Requirements

Operative reports detailing the procedure and indications for surgery.

Specialty Considerations

Ensure alignment with pediatric surgical coding guidelines.

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 for congenital cystic lung cases.

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 for congenital cystic lung cases.

Reimbursement & Billing Impact

reimbursement for congenital cystic lung cases.

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 associated conditions with congenital cystic lung?

Congenital cystic lung may be associated with other congenital anomalies such as tracheoesophageal fistula, congenital heart defects, and chromosomal abnormalities like Down syndrome. Comprehensive evaluation is essential to identify these associations.