ICD-10 Coding for Loeys-Dietz Syndrome(Q87.4)
Complete ICD-10-CM coding and documentation guide for Loeys-Dietz Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Loeys-Dietz Syndrome
Q87.4Primary Range
Marfan syndrome, Loeys-Dietz syndrome, and other specified congenital malformation syndromes with skeletal involvement
This range includes Loeys-Dietz syndrome as a primary condition, capturing its genetic and clinical manifestations.
Aortic aneurysm and dissection
These codes are used to document specific vascular complications associated with Loeys-Dietz syndrome.
Cleft palate and cleft lip
These codes may be used to document craniofacial anomalies often seen in Loeys-Dietz syndrome.
Key Information: ICD-10 code for Loeys-Dietz syndrome
Essential facts and insights about Loeys-Dietz Syndrome
Primary ICD-10-CM Code for loeys dietz syndrome
Decision Criteria
clinical Criteria
- Presence of bifid uvula and aortic root dilation
documentation Criteria
- Genetic test results confirming TGFBR1 or TGFBR2 mutation
Clinical Validation Requirements
- Genetic testing confirming TGFBR1 or TGFBR2 mutation
- Clinical diagnosis with major criteria such as aortic aneurysm and craniofacial features
Code-Specific Risks
- Misclassification with Marfan syndrome
- Omission of genetic confirmation
Coding Notes
- Ensure genetic testing results are documented to support the use of Q87.4.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Dissection of ascending aorta
I71.01Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Loeys-Dietz Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Q87.4.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Use specific terms like 'Loeys-Dietz syndrome', Document genetic test results
Impact
Reimbursement: Incorrect coding may lead to improper DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Confirm genetic testing distinguishes TGFBR1/2 from FBN1.
Impact
Lack of genetic test results can lead to audit findings.
Mitigation Strategy
Ensure all genetic testing is documented and linked to the diagnosis.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Loeys-Dietz Syndrome, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Loeys-Dietz Syndrome
Use these documentation templates to ensure complete and accurate documentation for Loeys-Dietz Syndrome. These templates include all required elements for proper coding and billing.
Initial diagnosis of Loeys-Dietz syndrome
Specialty: GeneticsRequired Elements
- Genetic test results
- Craniofacial features
- Vascular findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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