745.10 is a legacy non-billable code used to specify a medical diagnosis of complete transposition of great vessels. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
Q20.3is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Q20.3became effective on October 1, 2021. This is the American ICD-10-CM version of Q20.3- other international versions of ICD-10 Q20.3may differ. Applicable To Dextrotransposition of aorta
Q20.3is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Q20.3became effective on October 1, 2021. This is the American ICD-10-CM version of Q20.3- other international versions of ICD-10 Q20.3may differ.
Discordant ventriculoarterial connection. Q20.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Español (Spanish) Dextro-Transposition (pronounced DECKS-tro trans-poh-ZI-shun) of the Great Arteries or d-TGA is a birth defect of the heart in which the two main arteries carrying blood out of the heart – the main pulmonary artery and the aorta – are switched in position, or “transposed.”
Other specified counselingICD-10 code Z71. 89 for Other specified counseling is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Dependence on enabling machines and devicesICD-10 code: Z99 Dependence on enabling machines and devices, not elsewhere classified.
The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is Z76. 89, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first.
ICD-10 code Z51. 81 for Encounter for therapeutic drug level monitoring is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Preventative medicine counselingCPT 99401: Preventative medicine counseling and/or risk factor reduction intervention(s) provided to an individual, up to 15 minutes may be used to counsel commercial members regarding the benefits of receiving the COVID-19 vaccine.
Z99. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Z99.81Z99. 81 - Dependence on supplemental oxygen. ICD-10-CM.
For weaning from a mechanical ventilator, ICD‐10 coding guidelines state to assign a code from subcategory J96. 1 (HCC 84), Chronic respiratory failure, with secondary status code Z99. 11 (HCC 82), Dependence on respiratory [ventilator] status.
ICD-10 code: Z76. 9 Person encountering health services in unspecified circumstances.
1 - Person awaiting admission to adequate facility elsewhere.
89: Persons encountering health services in other specified circumstances.
d-TGA with ventricular septal defect is best coded with the d-TGA code and with the appropriate ventricular septal defect code.
Track and evaluate cases of d-TGA with and without ventricular septal defect: A very low proportion of cases with ventricular septal defect might indicate that this commonly associated intracardiac anomaly is being underreported or not documented and coded correctly.
d (dextro)-transposition of the great arteries (d-TGA) is a structural heart anomaly characterized clinically by cyanosis (usually) and anatomically by an abnormal origin of the great arteries, such that the aorta exits from the right ventricle (instead of the left) and the pulmonary artery exits from the left ventricle (instead of the right) (see Fig. 4.16 ). d-TGA can occur with or without a ventricular septal defect. These two forms are sometimes called “incomplete” and “complete”#N#d-TGA, respectively, though these terms are infrequently used and are not particularly useful.
d-TGA is considered one of the conotruncal heart defects, like tetralogy of Fallot and interrupted aortic arch type B. However, compared to tetralogy of Fallot, d-TGA is more likely an isolated heart anomaly and less likely to be associated with single-gene conditions or genomic imbalances (e.g. deletion 22q11). Extracardiac anomalies are found in ~10% of cases.
l (levo) transposition of the great arteries (l-TGA, Q20.5) is a different condition, epidemiologically, anatomically and developmentally, and it is not recommended to be included with d-TGA.
Newborn screening via pulse oximetry, which is based on the non-invasive detection of low blood oxygen saturation, can detect many cases of d-TGA even before overt signs and symptoms. Echocardiography can provide a firm, specific diagnosis, though other imaging techniques have a role in some cases.
Transposed great arteries can also occur as part of complex heart anomalies such as heterotaxy. Because of this heterogeneity, it is recommended that public health surveillance track separately the simple forms of d-TGA. These can be defined as those with at most a ventricular septal defect and limited valvar involvement, and excludes those cases that, for example, are part of heterotaxy or single ventricle phenotype (Q20.4).
745.10 is a legacy non-billable code used to specify a medical diagnosis of complete transposition of great vessels. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
The following crosswalk between ICD-9 to ICD-10 is based based on the General Equivalence Mappings (GEMS) information:
References found for the code 745.10 in the Index of Diseases and Injuries:
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.
General Equivalence Map Definitions The ICD-9 and ICD-10 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.