Other congenital malformations of tongue
ICD-10 Q38.3 is a billable code used to indicate a diagnosis of other congenital malformations of tongue.
Congenital malformations of the tongue can present in various forms, including ankyloglossia (tongue-tie), macroglossia (enlarged tongue), and microglossia (undersized tongue). These conditions may affect feeding, speech, and overall oral function. Ankyloglossia, for instance, can lead to difficulties in breastfeeding and later speech articulation issues. Macroglossia can be associated with syndromes such as Down syndrome or Beckwith-Wiedemann syndrome, impacting the airway and leading to obstructive sleep apnea. Microglossia, while less common, can also pose challenges in oral function. The management of these conditions often requires a multidisciplinary approach, including pediatricians, speech therapists, and sometimes surgical intervention. Accurate coding is essential for appropriate treatment planning and reimbursement.
Detailed clinical notes on feeding difficulties, speech assessments, and any interventions performed.
Infants with ankyloglossia presenting with breastfeeding challenges, children with macroglossia requiring evaluation for airway obstruction.
Consideration of the impact of tongue malformations on developmental milestones and the need for interdisciplinary referrals.
Genetic testing results, family history of congenital conditions, and any syndromic associations.
Patients with macroglossia evaluated for genetic syndromes, genetic counseling for families with a history of congenital malformations.
Awareness of chromosomal abnormalities that may present with tongue malformations, such as trisomy 21.
Performed for ankyloglossia to improve feeding and speech.
Pre-operative assessment, consent, and post-operative follow-up notes.
Pediatric specialists should document the necessity of the procedure based on functional impairment.
Common congenital malformations include ankyloglossia, macroglossia, and microglossia, each presenting unique challenges in feeding, speech, and airway management.
