Congenital laryngomalacia
ICD-10 Q31.5 is a billable code used to indicate a diagnosis of congenital laryngomalacia.
Congenital laryngomalacia is the most common cause of stridor in infants, characterized by the softening of the tissues of the larynx (voice box) that leads to airway obstruction. This condition typically presents in the first few weeks of life and is often associated with other congenital malformations of the respiratory system, such as choanal atresia, tracheoesophageal fistula, and lung hypoplasia. The stridor is usually inspiratory and may worsen when the infant is agitated or in a supine position. Most cases are mild and resolve spontaneously by 12 to 18 months of age, but severe cases may require surgical intervention, such as supraglottoplasty. Diagnosis is primarily clinical, supported by laryngoscopy to visualize the laryngeal structure. It is essential for coders to understand the implications of associated congenital conditions, as they may influence treatment and management strategies.
Detailed clinical notes on the infant's respiratory status, feeding difficulties, and growth patterns.
Infants presenting with stridor, especially those with a history of prematurity or other congenital anomalies.
Consideration of the infant's age and developmental milestones when assessing severity.
Genetic evaluation reports, family history of congenital conditions, and any chromosomal analysis results.
Cases where laryngomalacia is part of a syndrome or associated with chromosomal abnormalities.
Understanding the genetic implications of associated congenital anomalies.
Used to evaluate stridor in infants suspected of having laryngomalacia.
Document findings from the laryngoscopy and any interventions performed.
Pediatric specialists should ensure thorough documentation of airway assessment.
Congenital laryngomalacia is primarily caused by the abnormal development of the laryngeal structures, leading to softening and collapse during inspiration. It is often idiopathic but can be associated with other congenital anomalies.
