Congenital malformations of salivary glands and ducts
ICD-10 Q38.4 is a billable code used to indicate a diagnosis of congenital malformations of salivary glands and ducts.
Congenital malformations of salivary glands and ducts encompass a range of developmental anomalies affecting the formation and function of salivary glands and their associated ducts. These malformations can lead to various clinical manifestations, including difficulties in swallowing, feeding, and oral hygiene. Common conditions include agenesis or hypoplasia of the salivary glands, which may result in dry mouth (xerostomia) and increased risk of dental caries. Additionally, ductal obstructions can lead to sialadenitis or the formation of salivary duct cysts. The diagnosis is often made through clinical examination, imaging studies, and sometimes biopsy. Management may involve surgical intervention, supportive care, and regular monitoring to prevent complications. Understanding the implications of these congenital conditions is crucial for pediatric care, as they can significantly impact a child's growth and development.
Pediatric documentation should include detailed growth and developmental assessments, feeding difficulties, and any interventions performed.
Common scenarios include infants with feeding difficulties due to salivary gland malformations or older children presenting with recurrent sialadenitis.
Coders should be aware of the developmental implications of these conditions and ensure that all relevant clinical details are captured.
Genetic documentation should include family history, genetic testing results, and any syndromic associations.
Scenarios may involve genetic counseling for families with a history of congenital malformations or syndromes associated with salivary gland anomalies.
Consideration of chromosomal abnormalities that may co-occur with salivary gland malformations is essential for accurate coding.
Used for diagnostic and therapeutic interventions in cases of ductal obstruction.
Documentation should include indications for the procedure and findings.
Pediatric specialists should ensure that the procedure is justified based on the child's clinical presentation.
Common congenital malformations include agenesis, hypoplasia, and ductal obstructions, which can lead to complications such as dry mouth and recurrent infections.
