2025 ICD-10-CM code Q25.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Congenital malformations - Congenital malformations of the circulatory system Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) Feed
Patent ductus arteriosus (PDA) is a persistent opening between the aorta and pulmonary artery, present at birth.
Not applicable to ICD-10 codes.
Medical necessity for PDA treatment depends on the size of the defect and the presence of associated symptoms.Larger PDAs that cause hemodynamic compromise or significant symptoms warrant intervention to prevent long-term cardiac and pulmonary complications.Small asymptomatic PDAs often require only observation.
Pediatric cardiologists and neonatologists are primarily responsible for diagnosis and management of PDA.Depending on the complexity and severity, other specialists may be involved.
- Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- Congenital malformations of the circulatory system (Q20-Q28)
In simple words: A patent ductus arteriosus (PDA) is a hole that should close shortly after a baby is born.This hole is between two major blood vessels near the heart.If it doesn't close, it can cause extra blood to flow to the lungs, making the heart work harder.Depending on the size, the baby may have breathing trouble, poor feeding, or not grow as expected.
Patent ductus arteriosus (PDA) is a congenital heart defect characterized by the persistence of the ductus arteriosus, a fetal blood vessel connecting the aorta and the pulmonary artery.This opening normally closes shortly after birth.If it remains open, it allows oxygen-rich blood from the aorta to mix with oxygen-poor blood in the pulmonary artery, increasing blood flow to the lungs and potentially leading to heart strain and pulmonary hypertension. The severity of symptoms depends on the size of the opening and the age of the individual.Small PDAs may be asymptomatic, while larger ones can cause symptoms such as shortness of breath, difficulty feeding, poor weight gain, and rapid heart rate.
Example 1: A premature infant born at 28 weeks gestation is diagnosed with a large PDA exhibiting symptoms of tachypnea, poor feeding, and poor weight gain.Medical management may be considered including medication and surgical intervention., A full-term infant is incidentally found to have a small asymptomatic PDA during a routine echocardiogram.Close observation without immediate intervention may be recommended., A child with a large PDA presents with symptoms of congestive heart failure.The PDA requires closure via cardiac catheterization or surgical intervention.
Prenatal history, including gestational age and maternal health.Physical examination findings, including heart rate, respiratory rate, and presence of a murmur.Echocardiogram results, including size and location of the PDA.Other relevant diagnostic tests such as electrocardiogram (ECG) and chest X-ray.Treatment plan and response to treatment, if any.
** This information is current as of December 3, 2024.Always consult the most up-to-date ICD-10-CM coding guidelines and payer-specific policies for accurate billing and coding.
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- Specialties:Cardiology, Neonatology, Pediatric Cardiology, Cardiac Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center