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ICD-10 Guide
ICD-10 CodesQ28.0

Q28.0

Billable

Arteriovenous malformation of precerebral vessels

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

Code Description

ICD-10 Q28.0 is a billable code used to indicate a diagnosis of arteriovenous malformation of precerebral vessels.

Key Diagnostic Point:

Arteriovenous malformation (AVM) of the precerebral vessels is a congenital vascular anomaly characterized by an abnormal connection between arteries and veins, bypassing the capillary system. This condition can lead to various complications, including hemorrhage, ischemia, and neurological deficits. In pediatric patients, AVMs may present with symptoms such as headaches, seizures, or focal neurological deficits, depending on their location and size. Diagnosis typically involves imaging studies such as MRI or CT angiography, which can visualize the abnormal vascular connections. Treatment options may include surgical resection, endovascular embolization, or stereotactic radiosurgery, depending on the AVM's characteristics and the patient's overall health. Early detection and management are crucial to prevent serious complications, making awareness of this condition essential in pediatric care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and symptoms among patients
  • Need for precise imaging documentation
  • Differentiation from other vascular anomalies
  • Potential for associated congenital conditions

Audit Risk Factors

  • Inadequate documentation of imaging studies
  • Failure to document associated symptoms or complications
  • Incorrect coding of related vascular anomalies
  • Lack of clarity in treatment plans

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include detailed clinical history, symptomatology, imaging results, and treatment plans. Growth and developmental assessments may also be relevant.

Common Clinical Scenarios

Common scenarios include a child presenting with seizures or headaches, requiring imaging to evaluate for AVMs, or a child with a known AVM undergoing treatment.

Billing Considerations

Considerations include the age of the patient, potential for growth-related changes in the AVM, and the impact of treatment on developmental milestones.

Genetics

Documentation Requirements

Genetic documentation should include family history, genetic testing results, and any syndromic associations with AVMs.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of vascular malformations or syndromes associated with AVMs.

Billing Considerations

Considerations include the potential for hereditary syndromes that may predispose to AVMs, such as hereditary hemorrhagic telangiectasia.

Coding Guidelines

Inclusion Criteria

Use Q28.0 When
  • Official coding guidelines for congenital conditions emphasize the importance of accurate documentation of the condition's nature, severity, and any associated anomalies
  • Coders should ensure that all relevant clinical information is captured to support the diagnosis

Exclusion Criteria

Do NOT use Q28.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

61626CPT Code

Endovascular embolization of arteriovenous malformation

Clinical Scenario

Used in cases where AVM treatment is necessary to prevent complications.

Documentation Requirements

Documentation should include imaging results, clinical indications for the procedure, and post-procedure follow-up.

Specialty Considerations

Neurosurgery or interventional radiology may be involved in the procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, including AVMs, facilitating better tracking of these anomalies and their management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, including AVMs, facilitating better tracking of these anomalies and their management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, including AVMs, facilitating better tracking of these anomalies and their management.

Resources

Clinical References

  • •
    Congenital Vascular Malformations: A Clinical Overview

Coding & Billing References

  • •
    Congenital Vascular Malformations: A Clinical Overview

Frequently Asked Questions

What are the common symptoms of arteriovenous malformation in children?

Common symptoms include headaches, seizures, and neurological deficits, which may vary based on the AVM's location and size. Early diagnosis and management are crucial to prevent complications.