Complete ICD-10-CM coding and documentation guide for icd-10 coding for congenital heart defect includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Congenital Heart Defect
Use ICD-10 code Q21.0 for ventricular septal defect, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Heart failure, unspecified
Use if heart failure is present as a complication.
Primary pulmonary hypertension
Use if pulmonary hypertension is present.
The ICD-10 code for a ventricular septal defect is Q21.0, which requires documentation of defect size and shunt direction.
Code Tetralogy of Fallot using Q21.3, ensuring all four features are documented: VSD, overriding aorta, pulmonary stenosis, and right ventricular hypertrophy.