Congenital subglottic stenosis
ICD-10 Q31.1 is a billable code used to indicate a diagnosis of congenital subglottic stenosis.
Congenital subglottic stenosis is a narrowing of the airway below the vocal cords, specifically in the subglottic region of the larynx. This condition can lead to significant respiratory distress in neonates and infants, often presenting with stridor, wheezing, and difficulty breathing. The severity of the stenosis can vary, and it may be associated with other congenital malformations of the respiratory system, such as tracheoesophageal fistula, choanal atresia, and lung hypoplasia. Diagnosis is typically made through clinical evaluation and imaging studies, such as laryngoscopy, which allows direct visualization of the airway. Treatment options may include surgical intervention to widen the airway or, in some cases, tracheostomy if the stenosis is severe. Early identification and management are crucial to prevent complications such as hypoxia and respiratory failure. The condition may also be linked to genetic syndromes, necessitating a multidisciplinary approach for optimal care.
Detailed clinical notes on respiratory symptoms, history of congenital anomalies, and treatment plans.
Infants presenting with stridor and respiratory distress, requiring evaluation for congenital airway anomalies.
Consideration of the infant's gestational age and overall health status when coding.
Genetic testing results, family history of congenital conditions, and any syndromic associations.
Cases where congenital subglottic stenosis is part of a genetic syndrome, requiring genetic counseling.
Awareness of potential chromosomal abnormalities that may accompany congenital malformations.
Used to evaluate the airway in cases of suspected congenital subglottic stenosis.
Document indications for the procedure and findings.
Pediatric specialists should ensure that the procedure is justified based on clinical symptoms.
Treatment options may include surgical intervention to widen the airway, such as dilation or resection, and in severe cases, tracheostomy may be necessary. Close monitoring and follow-up care are essential to manage any associated respiratory issues.
