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2025 ICD-10-CM code Q44

Congenital malformations of the gallbladder, bile ducts, and liver.

Appropriate use of this code requires a thorough understanding of anatomical variations versus true congenital malformations.Consult the official ICD-10-CM coding guidelines for detailed instructions.

Medical necessity is established by the presence of a clinically significant congenital malformation affecting the gallbladder, bile ducts, or liver. This necessitates medical attention, potentially requiring surgical intervention,monitoring of liver function, or other forms of medical management. Documentation must support this.

The clinical responsibility for this code involves the physician's assessment, diagnosis, and potential management of congenital malformations of the gallbladder, bile ducts, and liver. This could involve imaging studies, surgical intervention if necessary, and ongoing monitoring of liver function.The physician's clinical documentation must support the use of the code.

IMPORTANT:Depending on the specific malformation, additional codes may be necessary to fully capture the clinical picture.Q44.7 (Other congenital malformations of liver) may be a more specific code if applicable.

In simple words: This code describes birth defects affecting the gallbladder, bile ducts, or liver.These defects can vary widely in severity.

This ICD-10-CM code classifies congenital malformations affecting the gallbladder, bile ducts, and liver.These malformations can range from minor anatomical variations to severe structural defects impacting liver function.Accurate coding requires detailed clinical documentation specifying the precise nature and extent of the malformations.

Example 1: A newborn presents with jaundice and elevated liver enzymes. Imaging reveals biliary atresia (complete blockage of the bile ducts). Code Q44 is used to document the congenital malformation., A child is diagnosed with polycystic liver disease during an ultrasound. This is a congenital malformation of the liver, and code Q44 is applicable., An infant undergoes surgery to correct a choledochal cyst (a cystic dilation of the common bile duct).Q44 is used to report the underlying congenital anomaly requiring surgical repair.

Detailed clinical documentation is crucial, including imaging reports (ultrasound, MRI, CT), surgical reports (if applicable), pathology results (if applicable), and any other relevant findings supporting the diagnosis of a congenital malformation of the gallbladder, bile ducts, or liver.

** This code should not be used on maternal records.If inborn errors of metabolism are present, those should be coded separately using codes from the E70-E88 range.

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