2025 ICD-10-CM code Q22.4
Congenital tricuspid stenosis
Medical necessity for treatment is based on the severity of the stenosis and its impact on cardiac function. Significant stenosis can lead to right heart failure and other complications. Treatment aims to improve blood flow through the heart and alleviate symptoms. The medical necessity documentation should clearly link the patient's condition and the planned intervention.
Diagnosis and management of this condition is typically overseen by pediatric cardiologists or congenital heart specialists. They are responsible for evaluating the severity of the stenosis, recommending appropriate treatment (which may range from medication to surgical intervention), and providing long-term monitoring.
- 7 (Congenital malformations, deformations and chromosomal abnormalities)
- Q22: Congenital malformations of pulmonary and tricuspid valves
In simple words: This condition means you were born with a narrowed tricuspid heart valve. This valve is located between two chambers on the right side of your heart. This narrowing can make it harder for blood to flow through the heart, potentially causing symptoms like weakness, fatigue, and fluid buildup.
A congenital narrowing of the tricuspid valve, which is the valve between the right atrium and the right ventricle of the heart.
Example 1: A newborn infant is diagnosed with a heart murmur. An echocardiogram reveals congenital tricuspid stenosis., A teenager experiences increasing shortness of breath and fatigue during exercise. After undergoing cardiac testing, they are found to have moderate congenital tricuspid stenosis., A pregnant woman with known mild congenital tricuspid stenosis undergoes regular echocardiograms to monitor her heart function during pregnancy.
Documentation should include details of the diagnostic evaluation, such as echocardiogram findings (including valve morphology, pressure gradients, and right heart function), cardiac catheterization results (if performed), and any associated cardiac anomalies. Any symptoms experienced by the patient, such as shortness of breath, chest pain, or fatigue, should also be documented.
- Specialties:Pediatric cardiology, congenital heart surgery
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, and others.