Children with congenital heart disease may undergo procedures to repair or compensate for anomalies very early in life or be monitored until a defect is resolved without intervention. These children may have related health concerns into adulthood. So do you continue to report the congenital condition that is affecting the child's health after the repair or closure? The guidelines for International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) and International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) provide the answers. These answers also apply to other types of anomalies.

When congenital anomalies are diagnosed during birth admission, ICD-9-CM and ICD-10-CM direct to report first the appropriate code for the live-born neonate and then codes describing congenital anomalies. The guidelines also instruct to report additional codes for manifestations that are not an inherent component of the malformation. Manifestations that are inherent to a malformation are not separately reported.


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