2025 ICD-10-CM code Q34.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Congenital malformations, deformations and chromosomal abnormalities - Congenital malformations of the respiratory system XVII Feed
Anomaly of the pleura, a congenital malformation of the respiratory system.
Medical necessity for coding Q34.0 is established by the presence of a clinically significant congenital pleural anomaly that requires diagnosis, treatment, or monitoring. The condition must be documented and the necessity for intervention, if any, must be supported.
The clinical responsibility for coding Q34.0 falls on the physician or qualified healthcare professional who diagnoses and manages the patient's condition.This includes documenting the findings relevant to the diagnosis and any associated conditions requiring further management.
In simple words: This code describes a birth defect affecting the pleura, the thin layer surrounding the lungs.It's a problem with how the pleura developed before birth.
Q34.0 in the ICD-10-CM classification system specifies an anomaly of the pleura.The pleura is the membrane that lines the lungs and the chest cavity. This code encompasses congenital malformations affecting the structure and development of the pleura, excluding congenital central alveolar hypoventilation syndrome.
Example 1: A newborn infant presents with respiratory distress and a chest X-ray reveals a congenital diaphragmatic hernia, associated with abnormal pleural development.Q34.0 would be used to code the pleural anomaly., A child undergoing surgery for lung resection exhibits unusual pleural adhesions, and the surgeon notes the abnormality to be congenital in nature.Q34.0 would capture this congenital pleural anomaly., A patient presents with recurrent pleural effusions and imaging reveals a congenital pleural cyst causing compression of the lung. Q34.0 would be appropriate for this scenario alongside codes for the effusion and the effect on the lung.
Complete and detailed documentation is critical for accurate coding.Documentation should include a clear diagnosis of the pleural anomaly, imaging reports confirming the malformation, and any associated symptoms or complications.The physician's clinical notes must clearly support the use of Q34.0.Genetic testing or other relevant investigations can aid the coding process.
** Always refer to the latest version of the ICD-10-CM manual for the most current coding guidelines and updates.Incorrect coding can lead to claim denials and revenue loss.
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- Specialties:Pediatric pulmonology, thoracic surgery, neonatology, genetics.
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