Congenital stenosis of aortic valve
ICD-10 Q23.0 is a billable code used to indicate a diagnosis of congenital stenosis of aortic valve.
Congenital stenosis of the aortic valve is a heart defect present at birth that results in a narrowing of the aortic valve, which impedes blood flow from the heart into the aorta and subsequently to the rest of the body. This condition can lead to increased pressure in the left ventricle, which may cause hypertrophy (thickening of the heart muscle) and can result in heart failure if not managed appropriately. The severity of the stenosis can vary, with some infants presenting with critical symptoms requiring immediate intervention, while others may be asymptomatic for years. Diagnosis typically involves echocardiography, which can visualize the structure and function of the heart and assess the degree of stenosis. Treatment options may include surgical intervention, such as balloon valvuloplasty or aortic valve replacement, depending on the severity of the condition and the age of the patient. Long-term follow-up is essential to monitor for potential complications, including aortic regurgitation or the need for further surgical procedures.
Pediatric documentation should include detailed clinical notes on the patient's growth, development, and any symptoms related to the heart defect. Echocardiogram reports and surgical notes are crucial.
Common scenarios include newborns presenting with heart murmurs, failure to thrive, or respiratory distress due to left ventricular outflow obstruction.
Consideration must be given to the age of the patient and the timing of interventions, as well as the potential for long-term complications.
Genetic documentation should include family history of congenital heart defects and any genetic syndromes associated with aortic stenosis.
Scenarios may involve genetic counseling for families with a history of congenital heart disease or syndromic presentations.
Genetic testing may be indicated in cases where a syndromic cause is suspected, and documentation should reflect any findings.
Used for initial diagnosis and follow-up of congenital heart defects.
Echocardiogram reports must detail the findings related to the aortic valve.
Pediatric cardiologists often perform these echocardiograms.
Performed in cases of severe aortic stenosis requiring surgical intervention.
Operative reports must detail the procedure and any complications.
Cardiothoracic surgeons are typically involved in these procedures.
Congenital aortic stenosis is present at birth and is often due to structural abnormalities of the aortic valve, such as a bicuspid valve. Acquired aortic stenosis typically develops later in life due to calcification or degeneration of the valve, often associated with aging or other conditions.
