Congenital bronchomalacia
ICD-10 Q32.2 is a billable code used to indicate a diagnosis of congenital bronchomalacia.
Congenital bronchomalacia is a condition characterized by the abnormal softness or weakness of the bronchial walls, leading to airway collapse, particularly during expiration. This condition is often present at birth and can be associated with other congenital malformations of the respiratory system, such as choanal atresia, tracheoesophageal fistula, and lung hypoplasia. In infants with bronchomalacia, symptoms may include wheezing, stridor, and recurrent respiratory infections due to compromised airway patency. Diagnosis typically involves imaging studies such as bronchoscopy or chest X-rays, which can reveal airway collapse during expiration. Management may include supportive care, such as oxygen therapy and respiratory treatments, and in severe cases, surgical intervention may be necessary to stabilize the airway. The condition can significantly impact the infant's respiratory function and overall health, necessitating careful monitoring and management by pediatric specialists.
Detailed clinical notes on respiratory symptoms, diagnostic imaging results, and treatment plans are essential for accurate coding.
Infants presenting with respiratory distress, wheezing, or stridor, particularly those with known congenital anomalies.
Pediatric coders must ensure that all associated congenital conditions are documented to support the complexity of care provided.
Genetic evaluations may be necessary to identify syndromic associations with bronchomalacia, requiring thorough documentation of family history and genetic testing results.
Cases where bronchomalacia is part of a broader genetic syndrome, necessitating genetic counseling and testing.
Coders should be aware of the implications of genetic findings on the management of bronchomalacia and associated conditions.
Used to evaluate airway patency in infants with suspected bronchomalacia.
Document indications for the procedure and findings.
Pediatric specialists should ensure that the procedure is justified based on clinical symptoms.
Common symptoms include wheezing, stridor, and recurrent respiratory infections. Infants may exhibit respiratory distress, especially during feeding or when lying flat.
