Congenital absence, atresia and stenosis of large intestine
Chapter 17:Congenital malformations and chromosomal abnormalities
ICD-10 Q42 is a billable code used to indicate a diagnosis of congenital absence, atresia and stenosis of large intestine.
Congenital absence, atresia, and stenosis of the large intestine encompasses a range of malformations that affect the structure and function of the large intestine. These conditions can lead to significant gastrointestinal complications in neonates and infants. Congenital absence refers to the complete lack of a segment of the large intestine, while atresia indicates a closure or absence of a normal opening, and stenosis denotes a narrowing of the intestinal lumen. Commonly associated conditions include Hirschsprung disease, where nerve cells are absent in a segment of the colon, leading to severe constipation or intestinal obstruction. Esophageal atresia, while primarily affecting the esophagus, can co-occur with gastrointestinal malformations, complicating the clinical picture. Imperforate anus is another related condition where the anal opening is absent or blocked, necessitating surgical intervention. Gastroschisis, characterized by the protrusion of the intestines through a defect in the abdominal wall, may also be present in conjunction with these malformations. Early diagnosis and intervention are crucial to managing these conditions effectively, as they can lead to life-threatening complications if left untreated.
Detailed clinical notes including growth parameters, feeding difficulties, and surgical history.
Infants presenting with abdominal distension, failure to pass meconium, or signs of bowel obstruction.
Consideration of developmental milestones and nutritional status in infants with congenital malformations.
Genetic testing results, family history of congenital conditions, and chromosomal analysis.
Cases where congenital malformations are suspected to have a genetic basis, requiring genetic counseling.
Understanding the implications of chromosomal abnormalities on the management of congenital conditions.
Used in cases of congenital absence or atresia requiring surgical intervention.
Operative report detailing the procedure and findings.
Pediatric surgical documentation must include age-specific considerations.
Documentation should include a detailed clinical history, physical examination findings, imaging studies, and any surgical reports. It is essential to capture the specific type of malformation and any associated conditions to ensure accurate coding.
