Congenital malformation of sternum
ICD-10 Q76.7 is a billable code used to indicate a diagnosis of congenital malformation of sternum.
Congenital malformation of the sternum refers to a variety of structural abnormalities affecting the sternum, which can occur in isolation or as part of a syndrome. These malformations may include conditions such as pectus excavatum (sunken sternum), pectus carinatum (protruding sternum), or complete absence of the sternum (sternal agenesis). These conditions can lead to significant cosmetic concerns and may also impact respiratory function, particularly in severe cases. The etiology of these malformations is often multifactorial, involving genetic predispositions and environmental factors during fetal development. Diagnosis typically involves physical examination and imaging studies such as chest X-rays or CT scans. Management may vary from observation in mild cases to surgical intervention in more severe instances to correct the deformity and improve function. Understanding the implications of these congenital malformations is crucial for pediatric care, as they can be associated with other congenital anomalies, particularly in syndromic presentations.
Pediatric documentation should include detailed physical examination findings, imaging results, and any associated congenital anomalies. Growth and development assessments are also important.
Common scenarios include a newborn presenting with pectus excavatum, requiring evaluation for associated cardiac or pulmonary issues, or a child with a history of congenital malformations needing follow-up care.
Coders should be aware of the potential for syndromic associations and ensure that all relevant conditions are documented and coded.
Genetic documentation should include family history, genetic testing results, and any syndromic associations that may impact management.
Scenarios may involve genetic counseling for families with a history of congenital malformations or syndromes that include sternal anomalies.
Consideration should be given to the implications of genetic syndromes that may present with sternal malformations, ensuring accurate coding of both the malformation and any associated genetic conditions.
Used in cases where surgical intervention is required for severe sternal deformities.
Operative reports detailing the procedure and pre-operative evaluations.
Pediatric surgeons should provide detailed documentation of the surgical approach and any complications.
Common congenital malformations of the sternum include pectus excavatum, pectus carinatum, and sternal agenesis. These conditions can vary in severity and may require different management approaches.
