Congenital absence and hypoplasia of umbilical artery
ICD-10 Q27.0 is a billable code used to indicate a diagnosis of congenital absence and hypoplasia of umbilical artery.
Congenital absence and hypoplasia of the umbilical artery is a rare vascular anomaly characterized by the underdevelopment or complete absence of one or both umbilical arteries. This condition can lead to various complications during fetal development, including impaired blood flow and nutrient delivery to the fetus, which may result in intrauterine growth restriction (IUGR) and other developmental issues. The umbilical arteries are crucial for transporting deoxygenated blood from the fetus to the placenta, and their absence can affect the overall circulatory system of the developing fetus. Clinically, this condition may be associated with other congenital malformations, particularly those affecting the cardiovascular system, such as congenital heart defects, which can complicate the clinical picture. Diagnosis is typically made via ultrasound, where the absence of one or both arteries can be visualized. Management may involve close monitoring of fetal development and planning for potential interventions at birth, depending on the presence of associated anomalies.
Pediatric documentation should include detailed prenatal history, ultrasound findings, and any postnatal assessments related to the umbilical artery condition.
Common scenarios include monitoring fetal growth in cases of IUGR and assessing for associated congenital heart defects.
Accurate coding requires awareness of potential co-morbidities and the need for interdisciplinary communication among pediatricians, neonatologists, and cardiologists.
Genetic documentation should include family history, genetic counseling notes, and any chromosomal studies performed.
Scenarios may involve genetic counseling for families with a history of congenital anomalies and discussions regarding recurrence risks.
Consideration of genetic syndromes that may present with vascular anomalies is crucial for accurate coding and management.
Used for prenatal assessment of umbilical artery conditions.
Documentation of indications for ultrasound and findings related to umbilical artery status.
Pediatricians and obstetricians should collaborate on documentation to ensure comprehensive care.
Common complications include intrauterine growth restriction (IUGR), potential for congenital heart defects, and increased risk of perinatal morbidity and mortality. Close monitoring during pregnancy and after birth is essential to manage these risks.
