Atresia of bile ducts
ICD-10 Q44.2 is a billable code used to indicate a diagnosis of atresia of bile ducts.
Atresia of bile ducts is a congenital malformation characterized by the absence or closure of the bile ducts, which can lead to cholestasis and liver damage. This condition is often associated with other congenital anomalies, particularly those affecting the gastrointestinal system. Infants with bile duct atresia typically present with jaundice, pale stools, and dark urine within the first few weeks of life. The diagnosis is confirmed through imaging studies, such as ultrasound or cholangiography, and may require a liver biopsy to assess the extent of liver damage. Surgical intervention, often in the form of a Kasai procedure, is necessary to restore bile flow and improve liver function. Early diagnosis and treatment are crucial to prevent severe liver complications and improve long-term outcomes. The condition can occur in isolation or as part of syndromic presentations, necessitating a thorough evaluation for associated congenital anomalies, particularly in the digestive system, such as esophageal atresia, Hirschsprung disease, and imperforate anus.
Pediatric documentation must include growth parameters, developmental milestones, and detailed descriptions of symptoms and interventions.
Common scenarios include newborns presenting with jaundice, requiring urgent evaluation for bile duct atresia and associated gastrointestinal anomalies.
Accurate coding requires awareness of the potential for multiple congenital anomalies and the need for interdisciplinary care.
Genetic documentation should include family history, genetic testing results, and any syndromic associations with congenital malformations.
Genetic counseling scenarios may involve families with a history of congenital biliary atresia or related syndromes.
Consideration of chromosomal abnormalities that may co-occur with congenital malformations is essential for accurate coding.
Used in cases where gallbladder issues are present alongside biliary atresia.
Documentation must include indications for surgery and any findings during the procedure.
Pediatric surgeons must ensure that all congenital anomalies are documented.
Bile duct atresia is often associated with other congenital anomalies, particularly those affecting the gastrointestinal tract, such as esophageal atresia, Hirschsprung disease, and imperforate anus. Genetic syndromes may also be present, necessitating a thorough evaluation.
