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v1.0.0
ICD-10 Guide
ICD-10 CodesQ87.82

Q87.82

Billable

Arterial tortuosity syndrome

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

Code Description

ICD-10 Q87.82 is a billable code used to indicate a diagnosis of arterial tortuosity syndrome.

Key Diagnostic Point:

Arterial tortuosity syndrome (ATS) is a rare genetic disorder characterized by the abnormal twisting and elongation of arteries, leading to various cardiovascular complications. This condition is often associated with other congenital malformations, including skeletal abnormalities, skin lesions, and connective tissue disorders. Patients may present with symptoms such as arterial aneurysms, vascular stenosis, and increased risk of arterial rupture. The syndrome is typically inherited in an autosomal dominant pattern and is linked to mutations in the SLC2A10 gene. Diagnosis is primarily clinical, supported by imaging studies that reveal the characteristic arterial tortuosity. Management focuses on monitoring cardiovascular health and addressing any complications that arise. Due to its rarity and the complexity of associated conditions, accurate coding is essential for proper patient management and research purposes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Rarity of the condition leading to limited familiarity among coders
  • Potential for multiple associated congenital malformations
  • Need for precise documentation of clinical findings
  • Variability in presentation and severity among patients

Audit Risk Factors

  • Inadequate documentation of associated congenital conditions
  • Failure to include genetic testing results
  • Misinterpretation of clinical findings leading to incorrect coding
  • Lack of clarity in the relationship between ATS and other congenital anomalies

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed pediatric history, including prenatal and perinatal factors, growth and development milestones, and family history of congenital conditions.

Common Clinical Scenarios

Pediatric patients presenting with unexplained cardiovascular symptoms, requiring evaluation for congenital heart disease or vascular anomalies.

Billing Considerations

Consideration of age-related manifestations of arterial tortuosity and associated conditions in pediatric patients.

Genetics

Documentation Requirements

Genetic testing results, family pedigree, and detailed clinical history to support the diagnosis of ATS and any associated genetic syndromes.

Common Clinical Scenarios

Patients undergoing genetic counseling for familial risk assessment and management of congenital malformations.

Billing Considerations

Understanding the genetic basis of ATS and its implications for family members.

Coding Guidelines

Inclusion Criteria

Use Q87.82 When
  • Follow ICD
  • CM guidelines for coding congenital conditions, ensuring accurate documentation of associated malformations and genetic testing results
  • Use additional codes as necessary to capture related conditions

Exclusion Criteria

Do NOT use Q87.82 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits in patients with ATS to monitor cardiovascular health.

Documentation Requirements

Document history, examination findings, and any changes in management.

Specialty Considerations

Pediatricians should focus on growth and development assessments.

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, including arterial tortuosity syndrome, improving the accuracy of data collection and patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, including arterial tortuosity syndrome, improving the accuracy of data collection and patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of congenital conditions, including arterial tortuosity syndrome, improving the accuracy of data collection and patient management.

Resources

Clinical References

  • •
    National Organization for Rare Disorders (NORD)

Coding & Billing References

  • •
    National Organization for Rare Disorders (NORD)

Frequently Asked Questions

What are the common associated conditions with arterial tortuosity syndrome?

Common associated conditions include skeletal abnormalities, connective tissue disorders, and other congenital malformations. Accurate documentation of these conditions is essential for proper coding.