2025 ICD-10-CM code Q24.0
Dextrocardia is a congenital condition characterized by the heart being situated on the right side of the thorax instead of the left.
The medical necessity for evaluating and managing dextrocardia stems from the potential for associated cardiac and other organ system abnormalities, which can significantly impact a patient's health. Early diagnosis and appropriate interventions are crucial for optimal outcomes.Medical necessity is generally established by the presence of signs, symptoms, or abnormal findings suggesting dextrocardia or related complications.
Diagnosis and management of dextrocardia involves various medical specialists, including pediatricians, pediatric cardiologists, and, in some cases, specialists in other affected organ systems.Clinical evaluation includes physical examination, electrocardiography (ECG), echocardiography, and imaging studies like chest X-rays, CT scans, or MRI to assess the heart's position, structure, and function. Treatment depends on the severity of the condition and any associated anomalies.It ranges from monitoring and supportive care for asymptomatic individuals to surgical intervention or medication management.
- Chapter 17: Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- Q24 - Other congenital malformations of heart
In simple words: Dextrocardia is a birth defect where the heart is located on the right side of the chest instead of the left. Sometimes, other organs might also be on the opposite side of what's typical.This condition may not cause symptoms, but in some cases, it can lead to complications.
Dextrocardia is a congenital anomaly where the heart's apex is pointed towards the right side of the chest, opposite to its normal leftward orientation. It can be an isolated condition or associated with situs inversus, where other internal organs are also mirrored in their placement.
Example 1: A newborn infant is found to have its heart sounds predominantly on the right side of the chest during a routine check-up. Subsequent imaging studies confirm a diagnosis of isolated dextrocardia, with no other apparent abnormalities., A child with recurrent respiratory infections undergoes a chest X-ray, revealing dextrocardia along with situs inversus totalis (complete mirroring of all visceral organs)., During a prenatal ultrasound, the fetus is observed to have the heart located on the right side. Further investigations after birth confirm dextrocardia and identify associated complex congenital heart defects.
Thorough documentation of dextrocardia should include details of diagnostic imaging studies like echocardiography, ECG findings, and any associated anomalies. Medical history, including family history of similar conditions, is also crucial.Progress notes should track the patient's condition, including any interventions or complications.
** Dextrocardia can be associated with a wide range of other congenital anomalies, including those affecting the lungs, abdomen, and spleen.If present, these associated conditions should be documented and coded accordingly. Genetic testing might be recommended for some individuals to investigate potential underlying genetic syndromes.
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- Specialties:Pediatrics, Pediatric cardiology
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