2025 ICD-10-CM code Q24.8
Other specified congenital malformations of heart. This includes conditions like congenital diverticulum of left ventricle, congenital malformation of myocardium or pericardium, malposition of heart, and Uhl's disease.
Medical necessity is established by the presence of a congenital heart defect impacting cardiac function or posing a risk of future complications. The specific condition and its severity justify the need for medical intervention.
Diagnosis and management of congenital heart defects falls under the purview of pediatric cardiologists, with possible involvement of cardiothoracic surgeons for surgical intervention.
- 7 (Congenital malformations, deformations and chromosomal abnormalities)
- Q24 (Other congenital malformations of heart)
In simple words: This code represents a specific group of heart defects present at birth, that are not otherwise described by more specific codes. These may involve the heart muscle, the sac surrounding the heart, or the heart’s position in the chest.
Other specified congenital malformations of heart, encompassing various specific congenital cardiac anomalies not classified elsewhere. Examples include congenital diverticulum of the left ventricle, congenital malformation of the myocardium or pericardium, malposition of the heart (other than dextrocardia or levocardia), and Uhl's disease (congenital thinning or absence of the myocardium).
Example 1: A newborn infant is diagnosed with a congenital diverticulum of the left ventricle, confirmed by echocardiography. The diagnosis is coded as Q24.8., A child presents with recurrent symptoms of heart failure, with imaging showing a congenitally thin myocardium, consistent with Uhl's anomaly. This is coded as Q24.8., Fetal echocardiography reveals an abnormal position of the heart in a developing fetus that does not meet criteria for other categorized malpositions. After birth the malposition is confirmed, warranting the use of Q24.8.
Thorough clinical examination findings, imaging studies (such as echocardiography, cardiac MRI, or CT scan), and possibly genetic testing results should be documented to support the use of this code.
** Excludes1: endocardial fibroelastosis (I42.4)
- Payment Status: Active
- Specialties:Pediatric cardiology, cardiothoracic surgery, congenital cardiac surgery
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Ambulatory Surgical Center