2025 ICD-10-CM code Q67.6
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Congenital malformations, deformations and chromosomal abnormalities - Congenital malformations and deformations of the musculoskeletal system Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) Feed
Pectus excavatum, also known as funnel chest, is a congenital deformity where the breastbone is sunken into the chest.
Not applicable to this ICD-10 code. Modifiers apply to procedural codes.
Medical necessity for pectus excavatum treatment is established based on the severity of the deformity and its impact on cardiopulmonary function and quality of life.Severe cases resulting in significant respiratory compromise, cardiac dysfunction, or persistent chest pain often warrant surgical intervention.Medical necessity criteria may vary among payers.
The clinical responsibility for pectus excavatum management involves a multidisciplinary approach, potentially including pediatricians, cardiologists, pulmonologists, thoracic surgeons, and orthopedists. The physician's duties encompass thorough history taking, physical examination, diagnostic imaging (chest X-ray, CT scan), assessment of severity (e.g., Haller index), and determination of appropriate management, which may range from observation to surgical correction. Post-surgical care, including pain management and monitoring of respiratory and cardiac function, also fall under the physician's purview.
- Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- Q65-Q79 (Congenital malformations and deformations of the musculoskeletal system)
In simple words: Pectus excavatum, or funnel chest, is a condition where a person's breastbone is sunken into their chest.This can happen from birth or become noticeable during a growth spurt.In severe cases, it can affect breathing and heart function, but many people with mild cases don't have problems. Doctors use physical exams and imaging (like CT scans) to diagnose it.Treatment might involve surgery or other methods depending on the severity.
Pectus excavatum is a structural deformity of the anterior thoracic wall characterized by an abnormal inward growth of the sternum (breastbone) and rib cage, resulting in a caved-in or sunken appearance of the chest.The severity can range from mild to severe, impacting cardiopulmonary function in more serious cases.It's often present at birth but may become more noticeable during puberty.Symptoms can include shortness of breath, fatigue, chest pain, and exercise intolerance. The condition can be associated with other connective tissue disorders like Marfan syndrome. Diagnosis involves a physical examination and imaging studies, such as a CT scan to determine the Haller index, which helps assess the severity of the deformity and guide treatment decisions.
Example 1: A 14-year-old boy presents with a noticeable indentation in his chest, causing him shortness of breath during physical activity.A CT scan reveals a Haller index of 3.5, indicating severe pectus excavatum.Surgical correction is recommended., A newborn infant exhibits a mild indentation of the sternum, which is not causing any respiratory or cardiac issues.The pediatrician monitors the condition, scheduling follow-up appointments to assess progression., A 25-year-old woman with a long history of pectus excavatum experiences increasing chest pain and fatigue.A comprehensive evaluation by a cardiothoracic surgeon leads to a recommendation for minimally invasive surgical repair to alleviate the compression of the heart and improve her quality of life.
** This ICD-10 code is for the diagnosis of pectus excavatum.Separate codes are required for any procedures or treatments performed to correct the condition.
- Revenue Code: Not specified in source data.
- RVU: Not specified in source data.
- Global Days: Not applicable to this ICD-10 code.
- Payment Status: Active
- Modifier TC rule: Not applicable to this ICD-10 code.
- Fee Schedule: Not applicable to this ICD-10 code. Fee schedules are relevant for procedural codes.
- Specialties:Pediatric cardiology, pediatric pulmonology, thoracic surgery, orthopedics
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center