Congenital absence, atresia and stenosis of other parts of large intestine
ICD-10 Q42.8 is a billable code used to indicate a diagnosis of congenital absence, atresia and stenosis of other parts of large intestine.
Congenital absence, atresia, and stenosis of the large intestine can manifest in various forms, leading to significant gastrointestinal complications in affected infants. This condition may involve the complete or partial absence of segments of the large intestine, which can result in obstruction, malabsorption, and failure to thrive. Commonly associated congenital malformations include esophageal atresia, where the esophagus does not connect to the stomach, and Hirschsprung disease, characterized by the absence of nerve cells in the colon, leading to severe constipation or intestinal obstruction. Other related conditions include imperforate anus, where the anal opening is absent or blocked, and gastroschisis, where the intestines protrude outside the body through a defect in the abdominal wall. These congenital anomalies often require surgical intervention and ongoing management to ensure proper growth and development. Accurate coding is essential for appropriate treatment planning and reimbursement.
Pediatric documentation must include detailed descriptions of the congenital anomaly, associated symptoms, and any surgical interventions performed.
Common scenarios include newborns presenting with feeding difficulties, abdominal distension, or failure to pass meconium, necessitating immediate evaluation.
Consideration of growth parameters and nutritional status is crucial in pediatric patients with congenital digestive malformations.
Genetic documentation should include family history, genetic testing results, and any syndromic associations with congenital malformations.
Scenarios may involve genetic counseling for families with a history of congenital anomalies or chromosomal abnormalities.
Understanding the genetic basis of congenital conditions can aid in risk assessment and management strategies.
Used in cases of congenital atresia requiring surgical intervention.
Document the indication for surgery and any associated findings.
Pediatric surgeons must provide detailed operative reports.
Documentation should include a detailed clinical description of the anomaly, any associated conditions, surgical interventions performed, and follow-up care plans. Ensure that all relevant clinical findings are clearly documented to support the coding.
