Congenital diaphragmatic hernia
ICD-10 Q79.0 is a billable code used to indicate a diagnosis of congenital diaphragmatic hernia.
Congenital diaphragmatic hernia (CDH) is a defect in the diaphragm that allows abdominal organs to move into the thoracic cavity, which can severely affect lung development and function. This condition is typically diagnosed in utero via ultrasound or shortly after birth when the infant presents with respiratory distress. The hernia can occur on either side of the diaphragm, with left-sided hernias being more common. Clinical manifestations may include cyanosis, tachypnea, and a scaphoid abdomen. Treatment often involves surgical intervention to repair the defect and may require additional supportive care in a neonatal intensive care unit (NICU) setting. Long-term outcomes depend on the severity of the hernia and associated pulmonary hypoplasia. Early diagnosis and management are crucial for improving survival rates and minimizing complications.
Detailed clinical notes on respiratory status, surgical interventions, and follow-up care.
Infants presenting with respiratory distress, requiring immediate evaluation and potential surgical intervention.
Consideration of associated congenital anomalies and their impact on treatment and coding.
Genetic counseling notes, family history, and any chromosomal studies performed.
Assessment of familial patterns of congenital anomalies and genetic syndromes associated with CDH.
Understanding the genetic implications and potential for syndromic associations with congenital diaphragmatic hernia.
Used during surgical intervention for CDH repair.
Operative report detailing the surgical procedure and findings.
Pediatric surgical documentation must include details on the patient's age and weight.
Common associated conditions include pulmonary hypoplasia, congenital heart defects, and other congenital anomalies. Accurate coding requires documentation of these associated conditions to reflect the complexity of care.
