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v1.0.0
ICD-10 Guide
ICD-10 CodesQ25.29

Q25.29

Billable

Other atresia of aorta

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q25.29 is a billable code used to indicate a diagnosis of other atresia of aorta.

Key Diagnostic Point:

Other atresia of the aorta refers to congenital malformations where there is a complete or partial obstruction of the aorta, which can lead to significant hemodynamic changes and complications in the circulatory system. This condition may manifest as a result of various developmental anomalies during fetal life, leading to inadequate blood flow to the body. Patients may present with symptoms such as cyanosis, heart failure, and poor growth. Diagnosis typically involves imaging studies such as echocardiography, MRI, or CT scans to assess the anatomy and blood flow. Management often requires surgical intervention to restore normal blood flow and may involve complex procedures depending on the severity and associated anomalies. Other congenital heart defects, such as septal defects, tetralogy of Fallot, and coarctation of the aorta, may coexist, complicating the clinical picture and management strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of the condition
  • Potential for associated congenital heart defects
  • Need for detailed imaging and documentation
  • Variations in surgical interventions and outcomes

Audit Risk Factors

  • Inadequate documentation of associated congenital anomalies
  • Failure to capture all relevant procedures performed
  • Misclassification of severity or type of atresia
  • Lack of clarity in imaging reports

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Thorough documentation of clinical findings, imaging results, and treatment plans is essential. Pediatric cardiology consultations may be necessary.

Common Clinical Scenarios

Infants presenting with cyanosis, failure to thrive, or heart murmurs requiring echocardiographic evaluation.

Billing Considerations

Consideration of growth and developmental milestones in the context of congenital heart disease.

Genetics

Documentation Requirements

Genetic testing results, family history of congenital conditions, and any syndromic associations should be documented.

Common Clinical Scenarios

Cases where congenital heart defects are part of a genetic syndrome, requiring genetic counseling and testing.

Billing Considerations

Awareness of chromosomal abnormalities that may be associated with congenital heart defects, such as Down syndrome.

Coding Guidelines

Inclusion Criteria

Use Q25.29 When
  • Follow the official ICD
  • CM guidelines for coding congenital malformations, ensuring accurate documentation of the condition's severity and any associated anomalies

Exclusion Criteria

Do NOT use Q25.29 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

33533CPT Code

Aortic arch reconstruction

Clinical Scenario

Used in surgical management of aortic atresia.

Documentation Requirements

Operative reports detailing the procedure and indications.

Specialty Considerations

Pediatric cardiothoracic surgery documentation standards.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Congenital Heart Disease

Coding & Billing References

  • •
    American Academy of Pediatrics - Congenital Heart Disease

Frequently Asked Questions

What are the common associated conditions with Q25.29?

Common associated conditions include other congenital heart defects such as ventricular septal defects, atrial septal defects, and coarctation of the aorta. Genetic syndromes may also be present, necessitating thorough evaluation.