2025 ICD-10-CM code Q22.8
(Active) Effective Date: N/A Revision Date: N/A Congenital malformations - Congenital malformations of the circulatory system Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) Feed
Other congenital malformations of the tricuspid valve.
The medical necessity for coding Q22.8 hinges on the presence of a clinically significant congenital tricuspid valve malformation confirmed by appropriate diagnostic imaging (e.g., echocardiogram).The diagnosis should be established by a qualified medical professional.
The clinical responsibility for this code falls on the cardiologist or pediatric cardiologist who diagnoses and manages congenital heart defects.This includes performing diagnostic tests (e.g., echocardiography), assessing the severity of the malformation, and determining the appropriate treatment plan (e.g., medication, surgery).
- Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- Q20-Q28 (Congenital malformations of the circulatory system)
In simple words: This code describes birth defects of the tricuspid valve, a heart valve that controls blood flow between the heart's upper and lower right chambers.It covers a range of problems, such as valve narrowing, leakage, and abnormal valve structure, that aren't specifically listed in other codes.
This code encompasses a variety of congenital heart defects affecting the tricuspid valve that are not otherwise specified by more specific ICD-10-CM codes.These may include structural abnormalities, such as unusual thickening of valve leaflets, abnormal chordae tendineae (the tendons connecting the valve leaflets to the heart muscle), or combinations of stenosis (narrowing) and insufficiency (leakage) of the valve.The specific anatomical details should be documented in the clinical record.
Example 1: A newborn presents with a heart murmur. Echocardiography reveals tricuspid valve stenosis and regurgitation, without meeting criteria for other specified tricuspid valve malformations.Q22.8 is used., A child with a history of congenital heart disease undergoes a cardiac catheterization, which shows an unusual thickening and distortion of the tricuspid valve leaflets. Q22.8 is used to capture this unspecific finding., During a routine fetal echocardiogram, an anomaly of the tricuspid valve is detected but further clarification is not possible before birth. Q22.8 is coded until further diagnostics are available.
Detailed echocardiogram report specifying the exact anatomical abnormalities of the tricuspid valve.If surgical intervention occurs, operative notes and pathology reports should be available.Prenatal findings, if any, need to be included.Medical records should indicate the lack of specificity to justify the use of Q22.8 instead of a more precise code.
** This code is for use in the diagnosis of congenital heart disease. It is not for use in maternal records.Excludes inborn errors of metabolism (E70-E88).
- Payment Status: Active
- Specialties:Cardiology, Pediatric Cardiology, Congenital Heart Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office