Other trisomies and partial trisomies of the autosomes, not elsewhere classified
Chapter 17:Congenital malformations and chromosomal abnormalities
ICD-10 Q92 is a billable code used to indicate a diagnosis of other trisomies and partial trisomies of the autosomes, not elsewhere classified.
Q92 encompasses a variety of congenital conditions characterized by the presence of an extra chromosome or a partial extra chromosome in the autosomes, which are the non-sex chromosomes. These conditions can lead to a range of developmental and physical abnormalities, depending on which chromosome is affected and the extent of the trisomy or partial trisomy. Unlike well-known syndromes such as Down syndrome (trisomy 21), Edwards syndrome (trisomy 18), and Patau syndrome (trisomy 13), Q92 covers less common trisomies that may not have specific codes. Clinical manifestations can include growth retardation, intellectual disability, congenital heart defects, and various dysmorphic features. Diagnosis typically involves karyotyping and genetic testing, and management may require a multidisciplinary approach, including pediatricians, geneticists, and other specialists to address the diverse needs of affected individuals.
Pediatric documentation should include growth parameters, developmental milestones, and any associated congenital anomalies.
Common scenarios include routine pediatric evaluations, referrals for developmental delays, and management of congenital heart defects.
Accurate coding requires detailed clinical notes that specify the nature of the trisomy and any associated conditions.
Genetic documentation must include karyotype results, family history, and any genetic counseling provided.
Scenarios may involve prenatal genetic testing, postnatal diagnosis of chromosomal abnormalities, and family planning discussions.
Geneticists must ensure that the specific trisomy is clearly documented to avoid coding errors.
Used for confirming a diagnosis of trisomy or partial trisomy.
Documentation must include the reason for testing and results.
Geneticists should ensure that the specific trisomy is noted in the report.
Document the specific trisomy or partial trisomy, associated clinical features, and results of any genetic testing performed. Ensure that the documentation supports the diagnosis and any related conditions.
