Meckel's diverticulum (displaced) (hypertrophic)
ICD-10 Q43.0 is a billable code used to indicate a diagnosis of meckel's diverticulum (displaced) (hypertrophic).
Meckel's diverticulum is a congenital anomaly characterized by the presence of a diverticulum in the ileum, which is a remnant of the embryonic yolk sac. This diverticulum can be displaced or hypertrophic, leading to complications such as intestinal obstruction, hemorrhage, or inflammation. In pediatric patients, it is often asymptomatic but can present with abdominal pain, rectal bleeding, or signs of bowel obstruction. Diagnosis typically involves imaging studies such as ultrasound or CT scans, and management may require surgical intervention. Understanding the implications of this condition is crucial for pediatric care, as it can significantly impact the digestive system's functionality and the child's overall health. The coding for Meckel's diverticulum requires careful attention to detail, particularly in distinguishing it from other congenital malformations of the digestive system, such as esophageal atresia or Hirschsprung disease.
Pediatric documentation must include detailed clinical notes on symptoms, diagnostic imaging results, and treatment plans.
Common scenarios include a child presenting with abdominal pain and subsequent imaging revealing Meckel's diverticulum.
Pediatric coders should be aware of growth and developmental factors that may influence the presentation of congenital conditions.
Genetic documentation should include family history, genetic testing results, and any syndromic associations.
Genetic counseling may be necessary for families with a history of congenital malformations.
Coders should consider potential chromosomal abnormalities that may co-occur with congenital digestive disorders.
Used when surgical intervention is required for symptomatic Meckel's diverticulum.
Document indications for surgery, findings during the procedure, and postoperative care.
Pediatric surgeons should ensure accurate coding reflecting the complexity of the procedure.
Common complications include intestinal obstruction, diverticulitis, and gastrointestinal bleeding. These complications can lead to significant morbidity if not addressed promptly.