Diagnosis Code Q21.8
Information for Medical Professionals
The diagnosis code Q21.8 is grouped in the following Diagnostic Related Group(s) (MS-DRG v33.0)
- CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC 306
- CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC 307
Convert to ICD-9 General Equivalence Map
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
- 745.8 - Septal closure anom NEC (approximate) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
Present on Admission (POA) Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.
The code Q21.8 is exempt from POA reporting.
- Bulbus cordis and cardiac septal closure anomalies
- Congenital abnormality of atrial septum
- Congenital abnormality of right atrium
- Eisenmenger's defect
- Left ventricular outflow tract obstruction due to malaligned outlet septum
- Overriding aorta
- Pentalogy of Fallot
- Posterior deviation of infundibular septum of obstructive aortic arch type
- Premature closure of foramen ovale
- Premature restriction of foramen ovale
- Right ventricular hypertrophy
- Right ventricular outflow tract obstruction due to aneurysm of membranous septum
- Spontaneous closure of ventricular septal defect
- Spontaneous closure of ventricular septal defect due to prolapse of cusp of aortic valve
- Tetralogy of Fallot
Index of Diseases and Injuries
References found for the code Q21.8 in the Index of Diseases and Injuries:
- Inclusion Terms: Inclusion terms
List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of “other specified” codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Eisenmenger's defect
- Pentalogy of Fallot
- Type 1 Excludes Notes: Type 1 Excludes Notes
A type 1 Excludes note is a pure excludes note. It means “NOT CODED HERE!” An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- Eisenmenger's complex (I27.8)
- Eisenmenger's syndrome (I27.8)
Information for Patients
A congenital heart defect is a problem with the structure of the heart. It is present at birth. Congenital heart defects are the most common type of birth defect. The defects can involve the walls of the heart, the valves of the heart, and the arteries and veins near the heart. They can disrupt the normal flow of blood through the heart. The blood flow can slow down, go in the wrong direction or to the wrong place, or be blocked completely.
Doctors use a physical exam and special heart tests to diagnose congenital heart defects. They often find severe defects during pregnancy or soon after birth. Signs and symptoms of severe defects in newborns include
- Rapid breathing
- Cyanosis - a bluish tint to the skin, lips, and fingernails
- Poor blood circulation
Many congenital heart defects cause few or no signs and symptoms. They are often not diagnosed until children are older.
Many children with congenital heart defects don't need treatment, but others do. Treatment can include medicines, catheter procedures, surgery, and heart transplants. The treatment depends on the type of the defect, how severe it is, and a child's age, size, and general health.
NIH: National Heart, Lung, and Blood Institute
- Atrial septal defect
- Bicuspid aortic valve
- Congenital heart defect corrective surgeries
- Congenital heart disease
- Cyanotic heart disease
- Echocardiogram -- children
- Heart murmurs and other sounds
- Patent ductus arteriosus
- Ventricular septal defect