Marfan syndrome with other cardiovascular manifestations
ICD-10 Q87.418 is a billable code used to indicate a diagnosis of marfan syndrome with other cardiovascular manifestations.
Marfan syndrome is a genetic disorder that affects connective tissue, leading to a variety of systemic manifestations. Patients with Marfan syndrome often exhibit cardiovascular abnormalities, including aortic dilation, mitral valve prolapse, and other structural heart defects. In addition to cardiovascular issues, individuals may present with other congenital malformations such as scoliosis, pectus excavatum, and arachnodactyly. The condition can also be associated with congenital malformations of the skin, such as striae, and abnormalities of the breast, spleen, and adrenal glands. These additional manifestations complicate the clinical picture and require careful documentation and coding to ensure accurate representation of the patient's condition. The complexity of Marfan syndrome lies in its variable expressivity and the potential for overlapping symptoms with other genetic disorders, necessitating a thorough clinical evaluation and genetic testing to confirm the diagnosis and assess the full spectrum of congenital anomalies present.
Pediatric documentation should include growth parameters, developmental milestones, and specific congenital anomalies observed during physical examination.
Common scenarios include routine evaluations for growth and development in children with known Marfan syndrome, assessments for scoliosis, and monitoring for cardiovascular complications.
Consideration must be given to the age of the patient, as manifestations may evolve over time, requiring ongoing assessment and documentation.
Genetic documentation should include family history, results of genetic testing, and any genetic counseling provided to the patient and family.
Scenarios may involve genetic counseling for families with a history of Marfan syndrome, interpretation of genetic test results, and discussions regarding the risk of transmission to offspring.
Accurate coding requires understanding the genetic basis of Marfan syndrome and its implications for associated congenital anomalies.
Used for assessing cardiovascular manifestations in patients with Marfan syndrome.
Document the reason for the echocardiogram and any findings related to Marfan syndrome.
Pediatric cardiology may require specific documentation of growth and development in relation to cardiovascular findings.
Documentation should include clinical findings consistent with Marfan syndrome, results from genetic testing, and any associated congenital anomalies. It is essential to provide a comprehensive overview of the patient's condition to support accurate coding.