Fetal alcohol syndrome (dysmorphic)
ICD-10 Q86.0 is a billable code used to indicate a diagnosis of fetal alcohol syndrome (dysmorphic).
Fetal alcohol syndrome (FAS) is a congenital condition resulting from maternal alcohol consumption during pregnancy. It is characterized by a range of physical, behavioral, and cognitive impairments. Clinically, individuals with FAS may present with distinct facial features such as a smooth philtrum, thin upper lip, and small palpebral fissures. Additionally, they may exhibit growth deficiencies, central nervous system dysfunction, and a variety of congenital malformations. These can include congenital heart defects, skeletal abnormalities, and issues with organ development, particularly affecting the skin, breast, spleen, and adrenal glands. The severity of symptoms can vary widely among affected individuals, and early diagnosis and intervention are crucial for improving outcomes. The condition is part of a spectrum of fetal alcohol spectrum disorders (FASDs), which also includes alcohol-related neurodevelopmental disorder (ARND) and alcohol-related birth defects (ARBD). Accurate coding of FAS is essential for appropriate management and resource allocation in pediatric care.
Pediatric documentation must include detailed growth assessments, developmental milestones, and any associated congenital anomalies.
Common scenarios include routine pediatric evaluations, referrals for developmental delays, and assessments for associated congenital conditions.
Considerations include the need for a thorough family history and the impact of environmental factors on development.
Genetic documentation should include family history of congenital conditions, results of genetic testing, and any chromosomal abnormalities identified.
Scenarios may involve genetic counseling for families with a history of FAS or related conditions and evaluations for chromosomal abnormalities.
Genetic coding must accurately reflect any identified syndromes or chromosomal anomalies that may co-occur with FAS.
Used during routine pediatric evaluations for children with FAS.
Document the specific developmental concerns and screening results.
Pediatricians should ensure comprehensive assessments are performed.
Key features of fetal alcohol syndrome include characteristic facial dysmorphisms, growth deficiencies, and neurodevelopmental impairments. Accurate diagnosis requires a comprehensive evaluation of these features along with maternal history of alcohol consumption.
