Question

15. Unilateral cleft lip and cleft palate, soft and hard Correction of cleft hard and soft palate via incisions on bot of the cleft, and repositioning of the tissue and muscles Repair of cleft upper lip, open 16. Cystic lung, congenital 17. Congenital nevus flammeus 18. Large congenital atrial septal defect (ASD) and patent foramen ovale (PFO) Repair of ASD/PFO with insertion of synthetic prosthesis across atrial septum via cardiac catheter to reinforce atrial septum 19. A two-month-old infant with polydactyly and a supernumerary digit! of the right fifth finger underwent complete surgical removal, involving excision of bone and other tissues

code the following diagnoses and procedures. Do not assign external cause of morbidity codes.

Answer 1

Relevant ICD-10 Exclutions codes and RC. PCH leses. Q37-Q37.9 clext palate with cleft lip. Pseudocleft or microform cleft Lip Cno associated ICD-10 codes) oblique facial cleft (Tessier type facial elegt) (no associated ICD-10 codes). Diagnosis Most cases of cleft lip and clest palate are noticed right away at birth and don't require special tests for diagnosis. Increasingly, cleft lip and cleft palate are seen on ultrasound before the baby is born. - Treatment 1 The got goals of treatment for cleftlipand elest palate are to improve the child's ability to cent, speak and bead normally and to achieve a normal facial appearance.

Congenital Cystic ling Symptomatic Congenital lung lesions require Surgical he section, but the management of asymptomatic Tung lesions is controversial. Some Surgeons advocate obser observation because of concer's about potential operative morbidity and mortality, as well as a luck of long-term follow up. information on the other hand, Marlignant degenagation, pneumonic, and pneumothora de are known consequences of cystic lung lesions. This study aims to assess the scufety of resection for asymptomatic for lung lesions that were diagnosed before birls. Methode - A Retrospetive review of all patients with asymptomatic lesions were reviewed. Overall mortality was o% and morbidity was 6.7% including 2.9% significant postoperative air leak and 3.87. trciosfusion requirement. Nine patients had a pathologic diagnosis that differed from preoperative radiological find finding, and nine patients had adblitional pathologic findina To-10-cm CooR Q33.0 - Congenital cystic kung

ICD-10-CM Diagnosis code Q82.5 congenital non- neoplastic nevus. Diagnosis A post-wine stain (nevus flammens) is a discolo- radion of the human skin caused by a me vascular anomaly Ca capillary malformation in the skin ). Amet A port- wine stain is vascular malformation, seen at birth. Port-Wine steun always pessist throughout life. The area of skin affected grows in proporation to general growth, Procedure Base "Nevus flammens is a congenial wesentar malformation. Neaus flammens' is traditionally treated with pulsed lye lases CPDL): howed however, around 20 pat percent of patients are poor responders and do not get satisfactory results from pulsed eth dye Cased treatment
ASD/PFO

One is called an atrial septal defect (ASD), and the other is a patent foramen ovale (PFO). ... Generally an ASD hole is larger than that of a PFO. The larger the hole, the more likely there are to be symptoms. PFOs, on the other hand, can only occur after birth when the foramen ovale fails to close.

In some cases, the heart is also stopped for 1 to 2 hours to facilitate the repair. Repairs range from relatively simple operations to more complex procedures depending on the location, size, and characteristics of the ASD. The total duration of the operation ranges from 2 to 3 hours.

ICD-10-CM Diagnosis Code Q21.1- Atrial septal defect

Polydactyly (Supernumerary Digit);

Supernumerary digits refer to the occurrence of extra (more than 10) fingers, toes, or parts of these digits. The medical term for this condition is polydactyly. The diagnosis can be divided into 3 classifications: extra digits that occur on the side of the thumb or big toe, extra digits that occur on the side of the little finger or the last toe (most common), and those that involve the fingers or toes in the middle.

Signs and Symptoms:-

A supernumerary digit most commonly occurs on the little finger. The extra digit may be only flesh and skin, or there may be bone underneath. It may appear to be floating (called a nubbin) and connected by a stalk, with a normal-appearing nail at the end. It may be an isolated finding at birth, or it may be seen with other symptoms or features. When it occurs with other features, it may be related to a genetic condition involving an extra part of or whole chromosome. The extra digit may or may not be seen on prenatal ultrasound.

Treatments Your Physician May Prescribe:-

The treatment is surgical removal of the extra digit by a subspecialist. The goals of surgery are to cosmetically improve the appearance of the hand or foot and also to prevent progressive deformity as your infant grows. The surgery for fully formed extra digits (bone, flesh, and skin) is often deferred until about 9–12 months of age so your infant can better tolerate the anesthesia involved in the surgery. However, small, bone-less digits may be surgically removed earlier. The prognosis for this minor surgery is excellent.

ICD-10-CM Diagnosis Code Q69.9 - Polydactyly, unspecified