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ICD-10 Guide
ICD-10 CodesQ32.3

Q32.3

Billable

Congenital stenosis of bronchus

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

Code Description

ICD-10 Q32.3 is a billable code used to indicate a diagnosis of congenital stenosis of bronchus.

Key Diagnostic Point:

Congenital stenosis of the bronchus refers to a narrowing of the bronchial tubes that occurs at birth. This condition can lead to significant respiratory distress in neonates and infants due to impaired airflow to the lungs. The stenosis may be localized or affect a larger segment of the bronchus, and it can be associated with other congenital anomalies of the respiratory system, such as tracheoesophageal fistula, choanal atresia, or lung hypoplasia. Diagnosis is typically made through imaging studies, such as chest X-rays or CT scans, and may require bronchoscopy for direct visualization. Treatment often involves surgical intervention to correct the narrowing and improve airflow, which is critical for adequate oxygenation and overall health in affected infants. Early detection and management are essential to prevent complications such as recurrent respiratory infections or chronic lung disease.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between congenital and acquired conditions
  • Co-occurrence with other congenital malformations
  • Variability in clinical presentation and severity
  • Need for detailed documentation of associated conditions

Audit Risk Factors

  • Inadequate documentation of the severity of stenosis
  • Failure to document associated congenital conditions
  • Incorrect coding of the type of bronchial malformation
  • Lack of clarity in surgical intervention details

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation must include detailed descriptions of respiratory symptoms, diagnostic imaging results, and any surgical interventions performed.

Common Clinical Scenarios

Common scenarios include infants presenting with respiratory distress, failure to thrive, or recurrent pneumonia due to bronchial stenosis.

Billing Considerations

Consideration must be given to the age of the patient and the potential for growth-related changes in bronchial anatomy.

Genetics

Documentation Requirements

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

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of congenital malformations or syndromes associated with bronchial anomalies.

Billing Considerations

Genetic coders must be aware of the potential for chromosomal abnormalities that may present with respiratory malformations.

Coding Guidelines

Inclusion Criteria

Use Q32.3 When
  • According to ICD
  • 10 coding guidelines, congenital conditions should be coded based on the specific malformation and any associated conditions
  • Documentation must clearly indicate the congenital nature of the stenosis and any related respiratory issues

Exclusion Criteria

Do NOT use Q32.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

31600CPT Code

Bronchoscopy, rigid or flexible

Clinical Scenario

Used for diagnosis and assessment of bronchial stenosis.

Documentation Requirements

Document indication for bronchoscopy and findings.

Specialty Considerations

Pediatric pulmonologists often perform this procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, including bronchial stenosis, which aids in better tracking and management of these patients.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, including bronchial stenosis, which aids in better tracking and management of these patients.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of congenital conditions, including bronchial stenosis, which aids in better tracking and management of these patients.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of coding congenital bronchial stenosis?

Accurate coding of congenital bronchial stenosis is crucial for appropriate treatment planning, resource allocation, and tracking of congenital anomalies. It also impacts reimbursement and quality of care metrics.