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.
L - transposition of the great vessels Congenital cardiovascular malformation in which the aorta arises entirely from the right ventricle and the pulmonary artery from the left ventricle so that the venous return from the peripheral circulation is recirculated by the right ventricle via the aorta without being oxygenated in the lungs
Transposition of great arteries 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.
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.”
R23. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
In cases of transposition of the great arteries, these vessels begin from the wrong ventricle. They are "transposed" from their normal position. The aorta starts from the right ventricle and the pulmonary artery from the left ventricle. Other heart defects may occur along with transposition of the great arteries.
[1] had defined this as any situation in which aorta arises from left ventricle but to the left of the pulmonary artery. Basically, this occurs with ventriculoarterial concordance in which the great vessels arise parallel instead of a twisting fashion.
A bluish color to the skin or mucous membrane is usually due to a lack of oxygen in the blood. The medical term is cyanosis.
Definition of cyanotic : marked by or causing a bluish or purplish discoloration (as of the skin and mucous membranes) due to deficient oxygenation of the blood : relating to or affected with cyanosis On arrival at the emergency room, the patient was cyanotic and unconscious with labored respirations at 40/min.—
TGA is a cyanotic heart defect. This means there is decreased oxygen in the blood that is pumped from the heart to the rest of the body. In normal hearts, blood that returns from the body goes through the right side of the heart and pulmonary artery to the lungs to get oxygen.
Cyanosis – a bluish color to the skin caused by insufficient oxygenation – is the primary symptom of TGA, and it is usually noticeable at birth or shortly thereafter.
Transposition of the great arteries (TGA) is a serious, rare heart problem in which the two main arteries leaving the heart are reversed (transposed). The condition is present at birth (congenital heart defect).
These are the ascending aorta, the pulmonary trunk, the pulmonary veins, the superior vena cava, and the inferior vena cava.
Simple and complex d-TGA Stenosis of valves or vessels may also be present. When no other heart defects are present it is called 'simple' d-TGA; when other defects are present it is called 'complex' d-TGA.
Due to the anterior location of the aorta, the second heart sound (S2) is accentuated and is usually single.
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.