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v1.0.0
ICD-10 Guide
ICD-10 CodesQ87.410

Q87.410

Billable

Marfan syndrome with aortic dilation

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q87.410 is a billable code used to indicate a diagnosis of marfan syndrome with aortic dilation.

Key Diagnostic Point:

Marfan syndrome is a genetic disorder affecting connective tissue, characterized by features such as tall stature, long limbs, and a predisposition to cardiovascular complications, particularly aortic dilation and dissection. Aortic dilation occurs when the aorta, the large artery that carries blood from the heart, becomes enlarged, which can lead to serious complications if not monitored and managed appropriately. Patients with Marfan syndrome often present with skeletal abnormalities, ocular issues, and cardiovascular problems. Early diagnosis and regular monitoring are crucial for managing the risk of aortic complications. Genetic testing can confirm the diagnosis, and echocardiograms are typically used to assess the aorta's size and function. Management may include lifestyle modifications, regular follow-ups, and surgical interventions if necessary. The condition is inherited in an autosomal dominant pattern, meaning that a single copy of the mutated gene from an affected parent can cause the disorder in offspring.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation among patients
  • Need for genetic testing and interpretation
  • Potential for associated congenital anomalies
  • Monitoring and management of cardiovascular risks

Audit Risk Factors

  • Inadequate documentation of genetic testing results
  • Failure to document associated congenital anomalies
  • Lack of follow-up care documentation
  • Misclassification of severity of aortic dilation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include growth parameters, developmental milestones, and any associated congenital anomalies.

Common Clinical Scenarios

Common scenarios include routine check-ups for children diagnosed with Marfan syndrome, monitoring for aortic dilation, and referrals for orthopedic evaluations.

Billing Considerations

Pediatric coders should be aware of the growth patterns in children with Marfan syndrome and the implications for surgical interventions.

Genetics

Documentation Requirements

Genetic documentation must include family history, results of genetic testing, and any counseling provided to the family.

Common Clinical Scenarios

Scenarios include genetic counseling sessions for families with a history of Marfan syndrome and discussions about reproductive options.

Billing Considerations

Genetic coders should ensure that all genetic testing and counseling services are accurately documented and linked to the diagnosis.

Coding Guidelines

Inclusion Criteria

Use Q87.410 When
  • According to ICD
  • 10 guidelines, congenital conditions should be coded based on the specific malformations present, and any associated conditions should also be documented
  • Genetic conditions require careful documentation of family history and testing results

Exclusion Criteria

Do NOT use Q87.410 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

93306CPT Code

Echocardiography, transthoracic, real-time with interpretation

Clinical Scenario

Used for monitoring aortic dilation in patients with Marfan syndrome.

Documentation Requirements

Documentation must include the indication for the echocardiogram and findings related to aortic dilation.

Specialty Considerations

Pediatric cardiologists should ensure that the echocardiogram results are clearly linked to the diagnosis of Marfan syndrome.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of diagnoses and facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of diagnoses and facilitating better patient management.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    Marfan Foundation

Coding & Billing References

  • •
    Marfan Foundation

Frequently Asked Questions

What is the significance of coding Marfan syndrome with aortic dilation?

Accurate coding of Marfan syndrome with aortic dilation is crucial for ensuring appropriate management and monitoring of cardiovascular risks associated with the condition. It also facilitates access to necessary genetic counseling and interventions.