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2025 ICD-10-CM code Q30

Congenital malformations of the nose.

Always use the most specific code available.If there is uncertainty, consult a coding specialist. Pay close attention to the distinction between congenital and acquired conditions; this code is only for congenital conditions.

Medical necessity for treatment depends on the severity of the malformation and its impact on breathing, feeding, and overall health.Severe cases requiring surgery are usually considered medically necessary.

The clinical responsibility for diagnosing and managing congenital nasal malformations typically involves otolaryngologists (ENT specialists), pediatricians (for newborns and infants), and plastic surgeons (in cases requiring surgical intervention).

IMPORTANT:Q30.0 (Choanal atresia), Q30.1 (Arhinia), Q30.2 (Other specified congenital malformations of the nose), Q30.3 (Congenital perforated nasal septum), Q30.8 (Other specified congenital malformations of nose), Q30.9 (Unspecified congenital malformation of nose).Note that more specific codes should be used if available.

In simple words: This code describes birth defects affecting the nose.The nose might be abnormally shaped, sized, or positioned, or there might be problems with the nasal passages being blocked or narrowed.

This code encompasses a range of congenital (present from birth) structural abnormalities affecting the nose.These can include variations in size, shape, or position, as well as more significant defects such as choanal atresia (blocked nasal passages) and congenital nasal stenosis (narrowing of the nasal passages).The malformations may involve the external nose (visible part), internal nasal structures (including septum, turbinates), or both.

Example 1: A newborn infant presents with cyanosis (bluish discoloration of the skin) and respiratory distress. Examination reveals bilateral choanal atresia (complete blockage of both nasal passages).This would be coded as Q30.0., A child is diagnosed with a deviated nasal septum, but it is determined to be present at birth and not secondary to trauma. This would likely fall under Q30, though a more specific code might apply depending on the extent of the deviation.A thorough history is critical., A young adult presents with a history of recurrent nasal infections and nasal obstruction. Examination reveals a congenital nasal stenosis, narrowing of the nasal passages.This would likely fall under Q30, with the possibility of selecting a more specific code as further assessment unfolds.

Detailed prenatal history, physical examination findings (including nasal endoscopy if indicated), imaging studies (such as CT scans or MRI), and any surgical or other intervention notes are essential.

** This code is not to be used for maternal records.The exclusion of inborn errors of metabolism is important to ensure correct coding.Always clarify the congenital nature of the nasal malformation versus an acquired condition to accurately use this code.

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