ICD-10 Coding for Pectus Excavatum(Q67.6)
Complete ICD-10-CM coding and documentation guide for Pectus Excavatum. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pectus Excavatum
Q67-Q67.9Primary Range
Congenital musculoskeletal deformities of the chest
This range includes congenital deformities of the chest, including pectus excavatum.
Other specified congenital malformation syndromes affecting multiple systems
Includes conditions like Marfan syndrome, which may be associated with pectus excavatum.
Key Information: ICD-10 code for pectus excavatum
Essential facts and insights about Pectus Excavatum
Primary ICD-10-CM Code for pectus excavatum
Decision Criteria
clinical Criteria
- Presence of congenital chest deformity confirmed by imaging
coding Criteria
- Avoid using for acquired deformities
Applicable To
- Congenital funnel chest
Excludes
- Marfan syndrome (Q87.4)
Clinical Validation Requirements
- Haller index >3.25 on CT
- Echocardiogram showing cardiac compression
Code-Specific Risks
- Confusion with acquired chest deformities
- Incorrect use in syndromic cases without proper documentation
Coding Notes
- Ensure congenital origin is documented to avoid misclassification.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Scoliosis, unspecified
M41.9Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Acquired chest deformity
Q76.7Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Pectus Excavatum to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Q67.6.
Impact
Clinical: May lead to underestimation of severity, Regulatory: Non-compliance with documentation standards, Financial: Potential denial of claims for surgical procedures
Mitigation Strategy
Standardize inclusion of Haller index in all relevant imaging reports
Impact
Reimbursement: Potential denial of claims due to incorrect coding, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data affecting patient records
Mitigation Strategy
Verify and document congenital origin through imaging and clinical history.
Impact
Using Q67.6 for acquired deformities can trigger audits.
Mitigation Strategy
Implement checks for congenital documentation in EHR systems.
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 Pectus Excavatum, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pectus Excavatum
Use these documentation templates to ensure complete and accurate documentation for Pectus Excavatum. These templates include all required elements for proper coding and billing.
Pre-operative evaluation for pectus excavatum surgery
Specialty: SurgeryRequired Elements
- Haller index measurement
- Symptoms such as dyspnea or chest pain
- Echocardiogram findings
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Pectus Excavatum? Ask your questions below.