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ICD-10 Guide
ICD-10 CodesQ25.48

Q25.48

Billable

Anomalous origin of subclavian artery

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

Code Description

ICD-10 Q25.48 is a billable code used to indicate a diagnosis of anomalous origin of subclavian artery.

Key Diagnostic Point:

Anomalous origin of the subclavian artery is a congenital malformation characterized by the abnormal positioning or branching of the subclavian artery, which can lead to significant hemodynamic changes and potential complications. This condition may occur in isolation or as part of a more complex congenital heart defect. It is often associated with other vascular anomalies, such as coarctation of the aorta or congenital heart defects like tetralogy of Fallot. Clinical manifestations can vary widely, ranging from asymptomatic presentations to severe symptoms, including respiratory distress or failure to thrive in infants. Diagnosis typically involves imaging studies such as echocardiography, MRI, or CT angiography to visualize the vascular anatomy. Management may require surgical intervention, particularly if the anomalous origin leads to compromised blood flow or associated symptoms. Understanding the implications of this condition is crucial for pediatricians and cardiologists, as timely diagnosis and intervention can significantly improve outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and associated anomalies
  • Need for precise imaging documentation
  • Potential for co-occurring congenital heart defects
  • Differentiation from other vascular anomalies

Audit Risk Factors

  • Inadequate documentation of imaging studies
  • Failure to report associated congenital anomalies
  • Misclassification of the type of vascular anomaly
  • Lack of clarity in surgical intervention details

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed clinical notes including growth parameters, symptoms, and imaging results are essential for accurate coding.

Common Clinical Scenarios

Pediatric patients presenting with failure to thrive or respiratory distress due to vascular anomalies.

Billing Considerations

Consideration of age-related factors in symptom presentation and management strategies.

Genetics

Documentation Requirements

Genetic testing results and family history documentation are critical for understanding potential hereditary patterns.

Common Clinical Scenarios

Cases involving syndromic presentations where genetic counseling is warranted.

Billing Considerations

Awareness of chromosomal abnormalities that may co-occur with vascular anomalies.

Coding Guidelines

Inclusion Criteria

Use Q25.48 When
  • Follow the official ICD
  • CM guidelines for coding congenital conditions, ensuring accurate documentation of associated anomalies and clinical findings

Exclusion Criteria

Do NOT use Q25.48 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

33533CPT Code

Repair of coarctation of aorta

Clinical Scenario

Used in conjunction with coding for anomalous origin of subclavian artery when surgical intervention is required.

Documentation Requirements

Surgical reports detailing the procedure and any associated anomalies.

Specialty Considerations

Pediatric cardiology may require additional documentation for congenital heart defects.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

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

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common associated conditions with anomalous origin of the subclavian artery?

Common associated conditions include coarctation of the aorta, tetralogy of Fallot, and other congenital heart defects. Accurate coding requires documentation of these associations.