264 A child with a small ventricular septal defect is seen in follow-up. The child is asymptomatic, but echocardiogram shows the defect has not yet completely closed. ICD-9-CM: 745.4 Ventricular septal defect ICD-10-CM: Q21.0 Ventricular septal defect The following points review what the guidelines have instructed concerning reporting of congenital malformations: When diagnosed during birth hospitalization, congenital malformations are reported secondary to the code for live birth. Codes for congenital malformation should be reported when diagnosed and as often as indicated until a complete repair has been accomplished and the condition no longer requires active medical treatment. Report only manifestations that are not inherent to the malformation. Personal history of corrected congenital malformation should be reported following curative repair of the congenital condition. Codes for personal history of corrected congenital malformation represent a lifelong health condition that may alter health management and treatment. Following these guidelines will help you correctly assign codes for congenital conditions and history of congenital conditions. Appendix B-17 Is This History? Coding Congenital Heart Disease (continued from page 263)
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