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Other microdeletions
ICD10CM code
Name of the Condition
- Other Microdeletions
- Also referred to as chromosomal microdeletions or submicroscopic deletions.
Summary
- Other microdeletions are genetic disorders involving the loss of a small segment of a chromosome. These deletions may lead to developmental issues, congenital anomalies, or various health problems depending on the genetic material lost.
Causes
- These conditions are primarily caused by errors during cell division, which result in a portion of the chromosome being deleted. They can occur spontaneously or be inherited from a parent carrying a balanced translocation.
Risk Factors
- Family history of chromosomal abnormalities.
- Advanced parental age may increase the risk of genetic mutations.
Symptoms
- Symptoms vary widely depending on the specific genes deleted but may include developmental delays, intellectual disabilities, distinctive facial features, and congenital malformations.
Diagnosis
- Genetic testing through methods such as chromosomal microarray analysis, high-resolution karyotyping, or fluorescence in situ hybridization (FISH).
Treatment Options
- Management is symptomatic and supportive. It may involve physical therapy, occupational therapy, speech therapy, and educational support. In some cases, surgery might be required to address specific physical anomalies.
Prognosis and Follow-Up
- The prognosis depends on the size and location of the deletion and the genes involved. Regular follow-up with a multidisciplinary team is crucial to address emerging symptoms and coordinate care.
Complications
- Possible complications include learning and behavioral challenges, physical disabilities, and increased susceptibility to infections or other medical conditions.
Lifestyle & Prevention
- Genetic counseling is recommended for families with a history of chromosomal disorders. While prevention is not typically possible, prenatal testing can provide information about potential risks.
When to Seek Professional Help
- Seek medical advice if developmental delays, unusual physical features, or other health concerns are observed, particularly if there is a family history of genetic disorders.
Additional Resources
- Genetic counseling services
- Organizations like the Genetic and Rare Diseases Information Center (GARD) and the Chromosome Disorder Outreach (CDO)
Tips for Medical Coders
- Ensure accurate documentation of the specific genes affected if available.
- Avoid confusion with other chromosomal abnormalities; verify that the deletion fits the criteria for Q93.88, "Other microdeletions."