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2025 ICD-10-CM code Q21.2

Atrioventricular septal defect. Also known as atrioventricular canal defect, endocardial cushion defect, or ostium primum atrial septal defect (type I).

Use more specific codes like Q21.23 if documented. Do not use this code on the maternal record. This code should not be used for reimbursement purposes. Instead, use a more specific code under Q21.2

Medical necessity is established by the presence of the congenital heart defect and the associated symptoms or complications.Surgical repair is often medically necessary to prevent long-term complications.

Diagnosis and management of this condition are typically handled by pediatric cardiologists, and often require surgical intervention.

IMPORTANT:For a complete atrioventricular septal defect use Q21.23.For partial atrioventricular septal defects, see Q21.0 (Ostium primum defect) and Q21.1 (Atrioventricular septal defect with common atrioventricular valve orifice).

In simple words: This is a birth defect affecting the heart.There's a hole in the wall separating the top and bottom chambers, which may also affect the heart valves.This condition is present from birth.

Atrioventricular septal defect is a congenital heart defect where there is a hole in the wall (septum) that separates the atria and ventricles of the heart.This defect involves both the atrial and ventricular septa and often includes abnormalities of the atrioventricular valves.

Example 1: A newborn infant is diagnosed with a heart murmur. An echocardiogram reveals an atrioventricular septal defect., A child experiences recurrent respiratory infections and failure to thrive. Further investigation reveals an undiagnosed atrioventricular septal defect., A fetal ultrasound detects a heart abnormality, which is later confirmed as an atrioventricular septal defect after birth.

Echocardiogram findings, cardiac catheterization reports, and operative reports if surgery is performed. Documentation should specify the type and severity of the defect.

** Excludes1: acquired cardiac septal defect (I51.0) and inborn errors of metabolism (E70-E88).This code is not for use on maternal records.Consider associated conditions like Down syndrome.

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