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Idaho Subscriber Answer: For patent foramen ovale (PFO) and atrial septal defect (ASD) closure, you should assign 93580 (Percutaneous transcatheter closure of congenital interatrial communication i.e., Fontan ...
Q21. 12 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM Q21.
PFO means that you have a small opening between the right and left atria of the heart. This opening normally closes soon after birth. But in many people, it does not. PFO itself usually does not cause any symptoms. PFO can occasionally result in complications.
However, although clinically very different, atrial septal defects (ASD) and patent foramen ovale (PFO) share a single diagnostic code (ICD-9: 745.5, ICD-10: Q21. 1).
ICD-10 code Q21. 12 for Patent foramen ovale is a medical classification as listed by WHO under the range - Congenital malformations, deformations and chromosomal abnormalities .
A PFO is an atrial septal defect. These defects are normally repaired via catheter using a closure device such as CardioSEALs Septal Occluder. If the physician repaired the defect using a catheter, the correct CPT code is 93580.
CPT® Code 33641 - Repair Procedures for Septal Defect - Codify by AAPC.
When a baby's lungs begin working, blood flow through the heart changes. Now the oxygen-rich blood comes from the lungs and enters the left upper heart chamber. The pressure of the blood pumping through the heart usually forces the flap opening of the foramen ovale to close.
However, although clinically very different, atrial septal defects (ASD) and patent foramen ovale (PFO) share a single diagnostic code (ICD-9: 745.5, ICD-10: Q21. 1).
Healthcare providers don't know what causes the hole to stay open (patent) in some people instead of closing up. Sometimes, PFO occurs along with other heart problems. One such condition is Ebstein anomaly. It's when the valve between the upper and lower chambers on the right side of the heart doesn't close properly.