Congenital absence, atresia and stenosis of duodenum
ICD-10 Q41.0 is a billable code used to indicate a diagnosis of congenital absence, atresia and stenosis of duodenum.
Congenital absence, atresia, and stenosis of the duodenum are serious congenital malformations of the digestive system that can significantly impact a newborn's ability to feed and absorb nutrients. Duodenal atresia is characterized by a complete obstruction of the duodenum, often presenting with bilious vomiting shortly after birth. This condition is frequently associated with Down syndrome and other chromosomal abnormalities. The absence or narrowing of the duodenum can lead to severe complications, including dehydration and electrolyte imbalances. Diagnosis typically involves imaging studies such as X-rays or ultrasound, which may reveal a 'double bubble' sign indicative of proximal duodenal obstruction. Surgical intervention is usually required to correct the malformation, and the prognosis depends on the presence of associated anomalies and the timing of surgical repair. Early detection and management are crucial for improving outcomes in affected infants.
Pediatric documentation must include birth history, feeding difficulties, and any associated congenital anomalies.
Common scenarios include newborns presenting with bilious vomiting and abdominal distension, requiring immediate evaluation.
Accurate coding requires awareness of the infant's overall health status and any additional congenital conditions.
Genetic documentation should include family history, chromosomal analysis results, and any syndromic associations.
Genetic counseling may be needed for families with a history of congenital malformations or chromosomal abnormalities.
Consideration of genetic syndromes associated with duodenal atresia is crucial for accurate coding.
Used in surgical correction of duodenal atresia.
Surgical notes detailing the procedure and any complications.
Pediatric surgical documentation must include pre-operative and post-operative assessments.
Duodenal atresia is often associated with Down syndrome, congenital heart defects, and other gastrointestinal anomalies. It is important to document any associated conditions for accurate coding.
