Diagnosis Code Q25.40
Information for Medical Professionals
The diagnosis code Q25.40 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)
- 306 - CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC
- 307 - CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC
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.
- 747.20 - Cong anom of aorta NOS (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 Q25.40 is exempt from POA reporting.
Replacement Code Replacement Code
The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2017. This is a new and revised code for the FY 2018 (October 1, 2017-September 30, 2018).
This code replaces the following previously assigned ICD-10 code(s) listed below:
- Q25.4 - Other congenital malformations of aorta
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
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