Index Terms Starting With 'A' (Anomaly, anomalous)

  • Anomaly, anomalous (congenital) (unspecified type) Q89.9
    ICD-10-CM Diagnosis Code Q89.9

    Congenital malformation, unspecified

      2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    Applicable To
    • Congenital anomaly NOS
    • Congenital deformity NOS

    • abdominal wall NEC Q79.59
      ICD-10-CM Diagnosis Code Q79.59

      Other congenital malformations of abdominal wall

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • acoustic nerve Q07.8
      ICD-10-CM Diagnosis Code Q07.8

      Other specified congenital malformations of nervous system

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Agenesis of nerve
      • Displacement of brachial plexus
      • Jaw-winking syndrome
      • Marcus Gunn's syndrome
    • adrenal Q89.1
      (gland)
      ICD-10-CM Diagnosis Code Q89.1

      Congenital malformations of adrenal gland

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Type 1 Excludes
      • adrenogenital disorders (E25.-)
      • congenital adrenal hyperplasia (E25.0)
    • Alder D72.0
      (-Reilly) (leukocyte granulation)
      ICD-10-CM Diagnosis Code D72.0

      Genetic anomalies of leukocytes

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Alder (granulation) (granulocyte) anomaly
      • Alder syndrome
      • Hereditary leukocytic hypersegmentation
      • Hereditary leukocytic hyposegmentation
      • Hereditary leukomelanopathy
      • May-Hegglin (granulation) (granulocyte) anomaly
      • May-Hegglin syndrome
      • Pelger-Huët (granulation) (granulocyte) anomaly
      • Pelger-Huët syndrome
      Type 1 Excludes
      • Chédiak (-Steinbrinck)-Higashi syndrome (E70.330)
    • alimentary tract Q45.9
      ICD-10-CM Diagnosis Code Q45.9

      Congenital malformation of digestive system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of digestive system
      • Congenital deformity of digestive system
      • upper Q40.9
        ICD-10-CM Diagnosis Code Q40.9

        Congenital malformation of upper alimentary tract, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital anomaly of upper alimentary tract
        • Congenital deformity of upper alimentary tract
    • alveolar M26.70
      ICD-10-CM Diagnosis Code M26.70

      Unspecified alveolar anomaly

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      • hyperplasia M26.79
        ICD-10-CM Diagnosis Code M26.79

        Other specified alveolar anomalies

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        • mandibular M26.72
          ICD-10-CM Diagnosis Code M26.72

          Alveolar mandibular hyperplasia

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
        • maxillary M26.71
          ICD-10-CM Diagnosis Code M26.71

          Alveolar maxillary hyperplasia

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
      • hypoplasia M26.79
        ICD-10-CM Diagnosis Code M26.79

        Other specified alveolar anomalies

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        • mandibular M26.74
          ICD-10-CM Diagnosis Code M26.74

          Alveolar mandibular hypoplasia

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
        • maxillary M26.73
          ICD-10-CM Diagnosis Code M26.73

          Alveolar maxillary hypoplasia

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
      • ridge M26.79
        (process)
        ICD-10-CM Diagnosis Code M26.79

        Other specified alveolar anomalies

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
      • specified NEC M26.79
        ICD-10-CM Diagnosis Code M26.79

        Other specified alveolar anomalies

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
    • ankle Q74.2
      (joint)
      ICD-10-CM Diagnosis Code Q74.2

      Other congenital malformations of lower limb(s), including pelvic girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital fusion of sacroiliac joint
      • Congenital malformation of ankle joint
      • Congenital malformation of sacroiliac joint
      Type 1 Excludes
      • anteversion of femur (neck) (Q65.89)
    • anus Q43.9
      ICD-10-CM Diagnosis Code Q43.9

      Congenital malformation of intestine, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • aorta (arch) Q25.40
      ICD-10-CM Diagnosis Code Q25.40

      Congenital malformation of aorta unspecified

        2017 - New Code 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • coarctation Q25.1
        (preductal) (postductal)
        ICD-10-CM Diagnosis Code Q25.1

        Coarctation of aorta

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Coarctation of aorta (preductal) (postductal)
        • Stenosis of aorta
    • aortic cusp or valve Q23.9
      ICD-10-CM Diagnosis Code Q23.9

      Congenital malformation of aortic and mitral valves, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • appendix Q43.8
      ICD-10-CM Diagnosis Code Q43.8

      Other specified congenital malformations of intestine

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital blind loop syndrome
      • Congenital diverticulitis, colon
      • Congenital diverticulum, intestine
      • Dolichocolon
      • Megaloappendix
      • Megaloduodenum
      • Microcolon
      • Transposition of appendix
      • Transposition of colon
      • Transposition of intestine
    • apple peel syndrome Q41.1
      ICD-10-CM Diagnosis Code Q41.1

      Congenital absence, atresia and stenosis of jejunum

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Apple peel syndrome
      • Imperforate jejunum
    • aqueduct of Sylvius Q03.0
      ICD-10-CM Diagnosis Code Q03.0

      Malformations of aqueduct of Sylvius

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Anomaly of aqueduct of Sylvius
      • Obstruction of aqueduct of Sylvius, congenital
      • Stenosis of aqueduct of Sylvius
    • arm Q74.0
      ICD-10-CM Diagnosis Code Q74.0

      Other congenital malformations of upper limb(s), including shoulder girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory carpal bones
      • Cleidocranial dysostosis
      • Congenital pseudarthrosis of clavicle
      • Macrodactylia (fingers)
      • Madelung's deformity
      • Radioulnar synostosis
      • Sprengel's deformity
      • Triphalangeal thumb
    • arteriovenous NEC
      • coronary Q24.5
        ICD-10-CM Diagnosis Code Q24.5

        Malformation of coronary vessels

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital coronary (artery) aneurysm
      • gastrointestinal Q27.33
        ICD-10-CM Diagnosis Code Q27.33

        Arteriovenous malformation of digestive system vessel

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • artery (peripheral) Q27.9
      ICD-10-CM Diagnosis Code Q27.9

      Congenital malformation of peripheral vascular system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Anomaly of artery or vein NOS
      • basilar NEC Q28.1
        ICD-10-CM Diagnosis Code Q28.1

        Other malformations of precerebral vessels

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital malformation of precerebral vessels NOS
        • Congenital precerebral aneurysm (nonruptured)
      • cerebral Q28.3
        ICD-10-CM Diagnosis Code Q28.3

        Other malformations of cerebral vessels

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital cerebral aneurysm (nonruptured)
        • Congenital malformation of cerebral vessels NOS
        • Developmental venous anomaly
      • coronary Q24.5
        ICD-10-CM Diagnosis Code Q24.5

        Malformation of coronary vessels

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital coronary (artery) aneurysm
      • digestive system Q27.8
        ICD-10-CM Diagnosis Code Q27.8

        Other specified congenital malformations of peripheral vascular system

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Absence of peripheral vascular system
        • Atresia of peripheral vascular system
        • Congenital aneurysm (peripheral)
        • Congenital stricture, artery
        • Congenital varix
        Type 1 Excludes
        • arteriovenous malformation (Q27.3-)
      • eye Q15.8
        ICD-10-CM Diagnosis Code Q15.8

        Other specified congenital malformations of eye

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • great Q25.9
        ICD-10-CM Diagnosis Code Q25.9

        Congenital malformation of great arteries, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        • specified NEC Q25.8
          ICD-10-CM Diagnosis Code Q25.8

          Other congenital malformations of other great arteries

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • lower limb Q27.8
        ICD-10-CM Diagnosis Code Q27.8

        Other specified congenital malformations of peripheral vascular system

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Absence of peripheral vascular system
        • Atresia of peripheral vascular system
        • Congenital aneurysm (peripheral)
        • Congenital stricture, artery
        • Congenital varix
        Type 1 Excludes
        • arteriovenous malformation (Q27.3-)
      • peripheral Q27.9
        ICD-10-CM Diagnosis Code Q27.9

        Congenital malformation of peripheral vascular system, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Anomaly of artery or vein NOS
        • specified NEC Q27.8
          ICD-10-CM Diagnosis Code Q27.8

          Other specified congenital malformations of peripheral vascular system

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Absence of peripheral vascular system
          • Atresia of peripheral vascular system
          • Congenital aneurysm (peripheral)
          • Congenital stricture, artery
          • Congenital varix
          Type 1 Excludes
          • arteriovenous malformation (Q27.3-)
      • pulmonary NEC Q25.79
        ICD-10-CM Diagnosis Code Q25.79

        Other congenital malformations of pulmonary artery

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Aberrant pulmonary artery
        • Agenesis of pulmonary artery
        • Congenital aneurysm of pulmonary artery
        • Congenital anomaly of pulmonary artery
        • Hypoplasia of pulmonary artery
      • renal Q27.2
        ICD-10-CM Diagnosis Code Q27.2

        Other congenital malformations of renal artery

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital malformation of renal artery NOS
        • Multiple renal arteries
      • retina Q14.1
        ICD-10-CM Diagnosis Code Q14.1

        Congenital malformation of retina

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital retinal aneurysm
      • specified site NEC Q27.8
        ICD-10-CM Diagnosis Code Q27.8

        Other specified congenital malformations of peripheral vascular system

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Absence of peripheral vascular system
        • Atresia of peripheral vascular system
        • Congenital aneurysm (peripheral)
        • Congenital stricture, artery
        • Congenital varix
        Type 1 Excludes
        • arteriovenous malformation (Q27.3-)
      • subclavian Q27.8
        ICD-10-CM Diagnosis Code Q27.8

        Other specified congenital malformations of peripheral vascular system

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Absence of peripheral vascular system
        • Atresia of peripheral vascular system
        • Congenital aneurysm (peripheral)
        • Congenital stricture, artery
        • Congenital varix
        Type 1 Excludes
        • arteriovenous malformation (Q27.3-)
        • origin Q25.48
          ICD-10-CM Diagnosis Code Q25.48

          Anomalous origin of subclavian artery

            2017 - New Code 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • umbilical Q27.0
        ICD-10-CM Diagnosis Code Q27.0

        Congenital absence and hypoplasia of umbilical artery

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Single umbilical artery
      • upper limb Q27.8
        ICD-10-CM Diagnosis Code Q27.8

        Other specified congenital malformations of peripheral vascular system

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Absence of peripheral vascular system
        • Atresia of peripheral vascular system
        • Congenital aneurysm (peripheral)
        • Congenital stricture, artery
        • Congenital varix
        Type 1 Excludes
        • arteriovenous malformation (Q27.3-)
      • vertebral NEC Q28.1
        ICD-10-CM Diagnosis Code Q28.1

        Other malformations of precerebral vessels

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital malformation of precerebral vessels NOS
        • Congenital precerebral aneurysm (nonruptured)
    • aryteno-epiglottic folds Q31.8
      ICD-10-CM Diagnosis Code Q31.8

      Other congenital malformations of larynx

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Absence of larynx
      • Agenesis of larynx
      • Atresia of larynx
      • Congenital cleft thyroid cartilage
      • Congenital fissure of epiglottis
      • Congenital stenosis of larynx NEC
      • Posterior cleft of cricoid cartilage
    • atrial
      • bands or folds Q20.8
        ICD-10-CM Diagnosis Code Q20.8

        Other congenital malformations of cardiac chambers and connections

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Cor binoculare
      • septa Q21.1
        ICD-10-CM Diagnosis Code Q21.1

        Atrial septal defect

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Coronary sinus defect
        • Patent or persistent foramen ovale
        • Patent or persistent ostium secundum defect (type II)
        • Patent or persistent sinus venosus defect
    • atrioventricular
      • excitation I45.6
        ICD-10-CM Diagnosis Code I45.6

        Pre-excitation syndrome

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        Applicable To
        • Accelerated atrioventricular conduction
        • Accessory atrioventricular conduction
        • Anomalous atrioventricular excitation
        • Lown-Ganong-Levine syndrome
        • Pre-excitation atrioventricular conduction
        • Wolff-Parkinson-White syndrome
      • septum Q21.0
        ICD-10-CM Diagnosis Code Q21.0

        Ventricular septal defect

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Roger's disease
    • auditory canal Q17.8
      ICD-10-CM Diagnosis Code Q17.8

      Other specified congenital malformations of ear

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of lobe of ear
    • auricle
      • ear Q17.8
        ICD-10-CM Diagnosis Code Q17.8

        Other specified congenital malformations of ear

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital absence of lobe of ear
        • causing impairment of hearing Q16.9
          ICD-10-CM Diagnosis Code Q16.9

          Congenital malformation of ear causing impairment of hearing, unspecified

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Congenital absence of ear NOS
      • heart Q20.8
        ICD-10-CM Diagnosis Code Q20.8

        Other congenital malformations of cardiac chambers and connections

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Cor binoculare
    • Axenfeld's Q15.0
      ICD-10-CM Diagnosis Code Q15.0

      Congenital glaucoma

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Axenfeld's anomaly
      • Buphthalmos
      • Glaucoma of childhood
      • Glaucoma of newborn
      • Hydrophthalmos
      • Keratoglobus, congenital, with glaucoma
      • Macrocornea with glaucoma
      • Macrophthalmos in congenital glaucoma
      • Megalocornea with glaucoma
    • back Q89.9
      ICD-10-CM Diagnosis Code Q89.9

      Congenital malformation, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly NOS
      • Congenital deformity NOS
    • band
      • atrial Q20.8
        ICD-10-CM Diagnosis Code Q20.8

        Other congenital malformations of cardiac chambers and connections

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Cor binoculare
      • heart Q24.8
        ICD-10-CM Diagnosis Code Q24.8

        Other specified congenital malformations of heart

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital diverticulum of left ventricle
        • Congenital malformation of myocardium
        • Congenital malformation of pericardium
        • Malposition of heart
        • Uhl's disease
      • ventricular Q24.8
        ICD-10-CM Diagnosis Code Q24.8

        Other specified congenital malformations of heart

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital diverticulum of left ventricle
        • Congenital malformation of myocardium
        • Congenital malformation of pericardium
        • Malposition of heart
        • Uhl's disease
    • Bartholin's duct Q38.4
      ICD-10-CM Diagnosis Code Q38.4

      Congenital malformations of salivary glands and ducts

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Atresia of salivary glands and ducts
      • Congenital absence of salivary glands and ducts
      • Congenital accessory salivary glands and ducts
      • Congenital fistula of salivary gland
    • biliary duct or passage Q44.5
      ICD-10-CM Diagnosis Code Q44.5

      Other congenital malformations of bile ducts

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory hepatic duct
      • Biliary duct duplication
      • Congenital malformation of bile duct NOS
      • Cystic duct duplication
    • bladder Q64.70
      ICD-10-CM Diagnosis Code Q64.70

      Unspecified congenital malformation of bladder and urethra

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Malformation of bladder or urethra NOS
      • absence Q64.5
        ICD-10-CM Diagnosis Code Q64.5

        Congenital absence of bladder and urethra

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • diverticulum Q64.6
        ICD-10-CM Diagnosis Code Q64.6

        Congenital diverticulum of bladder

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • exstrophy Q64.10
        ICD-10-CM Diagnosis Code Q64.10

        Exstrophy of urinary bladder, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Ectopia vesicae
        • cloacal Q64.12
          ICD-10-CM Diagnosis Code Q64.12

          Cloacal exstrophy of urinary bladder

            2016 2017 2018 - Revised Code 2019 2020 2021 Billable/Specific Code POA Exempt
        • extroversion Q64.19
          ICD-10-CM Diagnosis Code Q64.19

          Other exstrophy of urinary bladder

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Extroversion of bladder
        • specified type NEC Q64.19
          ICD-10-CM Diagnosis Code Q64.19

          Other exstrophy of urinary bladder

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Extroversion of bladder
        • supravesical fissure Q64.11
          ICD-10-CM Diagnosis Code Q64.11

          Supravesical fissure of urinary bladder

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • neck obstruction Q64.31
        ICD-10-CM Diagnosis Code Q64.31

        Congenital bladder neck obstruction

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital obstruction of vesicourethral orifice
      • specified type NEC Q64.79
        ICD-10-CM Diagnosis Code Q64.79

        Other congenital malformations of bladder and urethra

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • bone Q79.9
      ICD-10-CM Diagnosis Code Q79.9

      Congenital malformation of musculoskeletal system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of musculoskeletal system NOS
      • Congenital deformity of musculoskeletal system NOS
      • arm Q74.0
        ICD-10-CM Diagnosis Code Q74.0

        Other congenital malformations of upper limb(s), including shoulder girdle

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Accessory carpal bones
        • Cleidocranial dysostosis
        • Congenital pseudarthrosis of clavicle
        • Macrodactylia (fingers)
        • Madelung's deformity
        • Radioulnar synostosis
        • Sprengel's deformity
        • Triphalangeal thumb
      • face Q75.9
        ICD-10-CM Diagnosis Code Q75.9

        Congenital malformation of skull and face bones, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital anomaly of face bones NOS
        • Congenital anomaly of skull NOS
      • leg Q74.2
        ICD-10-CM Diagnosis Code Q74.2

        Other congenital malformations of lower limb(s), including pelvic girdle

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital fusion of sacroiliac joint
        • Congenital malformation of ankle joint
        • Congenital malformation of sacroiliac joint
        Type 1 Excludes
        • anteversion of femur (neck) (Q65.89)
      • pelvic girdle Q74.2
        ICD-10-CM Diagnosis Code Q74.2

        Other congenital malformations of lower limb(s), including pelvic girdle

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital fusion of sacroiliac joint
        • Congenital malformation of ankle joint
        • Congenital malformation of sacroiliac joint
        Type 1 Excludes
        • anteversion of femur (neck) (Q65.89)
      • shoulder girdle Q74.0
        ICD-10-CM Diagnosis Code Q74.0

        Other congenital malformations of upper limb(s), including shoulder girdle

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Accessory carpal bones
        • Cleidocranial dysostosis
        • Congenital pseudarthrosis of clavicle
        • Macrodactylia (fingers)
        • Madelung's deformity
        • Radioulnar synostosis
        • Sprengel's deformity
        • Triphalangeal thumb
      • skull Q75.9
        ICD-10-CM Diagnosis Code Q75.9

        Congenital malformation of skull and face bones, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital anomaly of face bones NOS
        • Congenital anomaly of skull NOS
        • with
          • anencephaly Q00.0
            ICD-10-CM Diagnosis Code Q00.0

            Anencephaly

              2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
            Applicable To
            • Acephaly
            • Acrania
            • Amyelencephaly
            • Hemianencephaly
            • Hemicephaly
          • encephalocele - see Encephalocele
          • hydrocephalus Q03.9
            ICD-10-CM Diagnosis Code Q03.9

            Congenital hydrocephalus, unspecified

              2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          • microcephaly Q02
            ICD-10-CM Diagnosis Code Q02

            Microcephaly

              2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
            Code First
            • , if applicable, congenital Zika virus disease
            Includes
            • hydromicrocephaly
            • micrencephalon
            Type 1 Excludes
            • Meckel-Gruber syndrome (Q61.9)
    • brain (multiple) Q04.9
      ICD-10-CM Diagnosis Code Q04.9

      Congenital malformation of brain, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly NOS of brain
      • Congenital deformity NOS of brain
      • Congenital disease or lesion NOS of brain
      • Multiple anomalies NOS of brain, congenital
      • vessel Q28.3
        ICD-10-CM Diagnosis Code Q28.3

        Other malformations of cerebral vessels

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital cerebral aneurysm (nonruptured)
        • Congenital malformation of cerebral vessels NOS
        • Developmental venous anomaly
    • breast Q83.9
      ICD-10-CM Diagnosis Code Q83.9

      Congenital malformation of breast, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • broad ligament Q50.6
      ICD-10-CM Diagnosis Code Q50.6

      Other congenital malformations of fallopian tube and broad ligament

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Absence of fallopian tube and broad ligament
      • Accessory fallopian tube and broad ligament
      • Atresia of fallopian tube and broad ligament
      • Congenital malformation of fallopian tube or broad ligament NOS
    • bronchus Q32.4
      ICD-10-CM Diagnosis Code Q32.4

      Other congenital malformations of bronchus

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Absence of bronchus
      • Agenesis of bronchus
      • Atresia of bronchus
      • Congenital diverticulum of bronchus
      • Congenital malformation of bronchus NOS
    • bulbus cordis Q21.9
      ICD-10-CM Diagnosis Code Q21.9

      Congenital malformation of cardiac septum, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Septal (heart) defect NOS
    • bursa Q79.9
      ICD-10-CM Diagnosis Code Q79.9

      Congenital malformation of musculoskeletal system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of musculoskeletal system NOS
      • Congenital deformity of musculoskeletal system NOS
    • canal of Nuck Q52.4
      ICD-10-CM Diagnosis Code Q52.4

      Other congenital malformations of vagina

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Canal of Nuck cyst, congenital
      • Congenital malformation of vagina NOS
      • Embryonic vaginal cyst
      • Gartner's duct cyst
    • canthus Q10.3
      ICD-10-CM Diagnosis Code Q10.3

      Other congenital malformations of eyelid

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Ablepharon
      • Blepharophimosis, congenital
      • Coloboma of eyelid
      • Congenital absence or agenesis of cilia
      • Congenital absence or agenesis of eyelid
      • Congenital accessory eyelid
      • Congenital accessory eye muscle
      • Congenital malformation of eyelid NOS
    • capillary Q27.9
      ICD-10-CM Diagnosis Code Q27.9

      Congenital malformation of peripheral vascular system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Anomaly of artery or vein NOS
    • cardiac Q24.9
      ICD-10-CM Diagnosis Code Q24.9

      Congenital malformation of heart, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of heart
      • Congenital disease of heart
      • chambers Q20.9
        ICD-10-CM Diagnosis Code Q20.9

        Congenital malformation of cardiac chambers and connections, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        • specified NEC Q20.8
          ICD-10-CM Diagnosis Code Q20.8

          Other congenital malformations of cardiac chambers and connections

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Cor binoculare
      • septal closure Q21.9
        ICD-10-CM Diagnosis Code Q21.9

        Congenital malformation of cardiac septum, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Septal (heart) defect NOS
        • specified NEC Q21.8
          ICD-10-CM Diagnosis Code Q21.8

          Other congenital malformations of cardiac septa

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Eisenmenger's defect
          • Pentalogy of Fallot
          Code Also
          • if applicable:
          • Eisenmenger's complex (I27.83)
          • Eisenmenger's syndrome (I27.83)
      • valve NEC Q24.8
        ICD-10-CM Diagnosis Code Q24.8

        Other specified congenital malformations of heart

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital diverticulum of left ventricle
        • Congenital malformation of myocardium
        • Congenital malformation of pericardium
        • Malposition of heart
        • Uhl's disease
        • pulmonary Q22.3
          ICD-10-CM Diagnosis Code Q22.3

          Other congenital malformations of pulmonary valve

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Congenital malformation of pulmonary valve NOS
          • Supernumerary cusps of pulmonary valve
    • cardiovascular system Q28.8
      ICD-10-CM Diagnosis Code Q28.8

      Other specified congenital malformations of circulatory system

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital aneurysm, specified site NEC
      • Spinal vessel anomaly
    • carpus Q74.0
      ICD-10-CM Diagnosis Code Q74.0

      Other congenital malformations of upper limb(s), including shoulder girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory carpal bones
      • Cleidocranial dysostosis
      • Congenital pseudarthrosis of clavicle
      • Macrodactylia (fingers)
      • Madelung's deformity
      • Radioulnar synostosis
      • Sprengel's deformity
      • Triphalangeal thumb
    • caruncle, lacrimal Q10.6
      ICD-10-CM Diagnosis Code Q10.6

      Other congenital malformations of lacrimal apparatus

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of lacrimal apparatus NOS
    • cascade stomach Q40.2
      ICD-10-CM Diagnosis Code Q40.2

      Other specified congenital malformations of stomach

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital displacement of stomach
      • Congenital diverticulum of stomach
      • Congenital hourglass stomach
      • Congenital duplication of stomach
      • Megalogastria
      • Microgastria
    • cauda equina Q06.3
      ICD-10-CM Diagnosis Code Q06.3

      Other congenital cauda equina malformations

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • cecum Q43.9
      ICD-10-CM Diagnosis Code Q43.9

      Congenital malformation of intestine, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • cerebral Q04.9
      ICD-10-CM Diagnosis Code Q04.9

      Congenital malformation of brain, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly NOS of brain
      • Congenital deformity NOS of brain
      • Congenital disease or lesion NOS of brain
      • Multiple anomalies NOS of brain, congenital
      • vessels Q28.3
        ICD-10-CM Diagnosis Code Q28.3

        Other malformations of cerebral vessels

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital cerebral aneurysm (nonruptured)
        • Congenital malformation of cerebral vessels NOS
        • Developmental venous anomaly
    • cervix Q51.9
      ICD-10-CM Diagnosis Code Q51.9

      Congenital malformation of uterus and cervix, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • Chédiak-Higashi E70.330
      (-Steinbrinck) (congenital gigantism of peroxidase granules)
      ICD-10-CM Diagnosis Code E70.330

      Chediak-Higashi syndrome

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
    • cheek Q18.9
      ICD-10-CM Diagnosis Code Q18.9

      Congenital malformation of face and neck, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly NOS of face and neck
    • chest wall Q67.8
      ICD-10-CM Diagnosis Code Q67.8

      Other congenital deformities of chest

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital deformity of chest wall NOS
      • bones Q76.9
        ICD-10-CM Diagnosis Code Q76.9

        Congenital malformation of bony thorax, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • chin Q18.9
      ICD-10-CM Diagnosis Code Q18.9

      Congenital malformation of face and neck, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly NOS of face and neck
    • chordae tendineae Q24.8
      ICD-10-CM Diagnosis Code Q24.8

      Other specified congenital malformations of heart

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital diverticulum of left ventricle
      • Congenital malformation of myocardium
      • Congenital malformation of pericardium
      • Malposition of heart
      • Uhl's disease
    • choroid Q14.3
      ICD-10-CM Diagnosis Code Q14.3

      Congenital malformation of choroid

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • plexus Q07.8
        ICD-10-CM Diagnosis Code Q07.8

        Other specified congenital malformations of nervous system

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Agenesis of nerve
        • Displacement of brachial plexus
        • Jaw-winking syndrome
        • Marcus Gunn's syndrome
    • chromosomes, chromosomal Q99.9
      ICD-10-CM Diagnosis Code Q99.9

      Chromosomal abnormality, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • D (1) - see condition, chromosome 13
      • E (3) - see condition, chromosome 18
      • G - see condition, chromosome 21
      • sex
        • female phenotype Q97.8
          ICD-10-CM Diagnosis Code Q97.8

          Other specified sex chromosome abnormalities, female phenotype

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        • gonadal dysgenesis Q99.1
          (pure)
          ICD-10-CM Diagnosis Code Q99.1

          46, XX true hermaphrodite

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • 46, XX with streak gonads
          • 46, XY with streak gonads
          • Pure gonadal dysgenesis
        • Klinefelter's Q98.4
          ICD-10-CM Diagnosis Code Q98.4

          Klinefelter syndrome, unspecified

            2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx POA Exempt
        • male phenotype Q98.9
          ICD-10-CM Diagnosis Code Q98.9

          Sex chromosome abnormality, male phenotype, unspecified

            2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx POA Exempt
        • Turner's Q96.9
          ICD-10-CM Diagnosis Code Q96.9

          Turner's syndrome, unspecified

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • specified NEC Q99.8
        ICD-10-CM Diagnosis Code Q99.8

        Other specified chromosome abnormalities

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • cilia Q10.3
      ICD-10-CM Diagnosis Code Q10.3

      Other congenital malformations of eyelid

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Ablepharon
      • Blepharophimosis, congenital
      • Coloboma of eyelid
      • Congenital absence or agenesis of cilia
      • Congenital absence or agenesis of eyelid
      • Congenital accessory eyelid
      • Congenital accessory eye muscle
      • Congenital malformation of eyelid NOS
    • circulatory system Q28.9
      ICD-10-CM Diagnosis Code Q28.9

      Congenital malformation of circulatory system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • clavicle Q74.0
      ICD-10-CM Diagnosis Code Q74.0

      Other congenital malformations of upper limb(s), including shoulder girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory carpal bones
      • Cleidocranial dysostosis
      • Congenital pseudarthrosis of clavicle
      • Macrodactylia (fingers)
      • Madelung's deformity
      • Radioulnar synostosis
      • Sprengel's deformity
      • Triphalangeal thumb
    • clitoris Q52.6
      ICD-10-CM Diagnosis Code Q52.6

      Congenital malformation of clitoris

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • coccyx Q76.49
      ICD-10-CM Diagnosis Code Q76.49

      Other congenital malformations of spine, not associated with scoliosis

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of vertebra NOS
      • Congenital fusion of spine NOS
      • Congenital malformation of lumbosacral (joint) (region) NOS
      • Congenital malformation of spine NOS
      • Hemivertebra NOS
      • Malformation of spine NOS
      • Platyspondylisis NOS
      • Supernumerary vertebra NOS
    • colon Q43.9
      ICD-10-CM Diagnosis Code Q43.9

      Congenital malformation of intestine, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • common duct Q44.5
      ICD-10-CM Diagnosis Code Q44.5

      Other congenital malformations of bile ducts

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory hepatic duct
      • Biliary duct duplication
      • Congenital malformation of bile duct NOS
      • Cystic duct duplication
    • communication
      • coronary artery Q24.5
        ICD-10-CM Diagnosis Code Q24.5

        Malformation of coronary vessels

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital coronary (artery) aneurysm
      • left ventricle with right atrium Q21.0
        ICD-10-CM Diagnosis Code Q21.0

        Ventricular septal defect

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Roger's disease
    • concha Q17.3
      (ear)
      ICD-10-CM Diagnosis Code Q17.3

      Other misshapen ear

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Pointed ear
    • connection
      • portal vein Q26.5
        ICD-10-CM Diagnosis Code Q26.5

        Anomalous portal venous connection

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • pulmonary venous Q26.4
        ICD-10-CM Diagnosis Code Q26.4

        Anomalous pulmonary venous connection, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        • partial Q26.3
          ICD-10-CM Diagnosis Code Q26.3

          Partial anomalous pulmonary venous connection

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Partial anomalous pulmonary venous return
        • total Q26.2
          ICD-10-CM Diagnosis Code Q26.2

          Total anomalous pulmonary venous connection

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Total anomalous pulmonary venous return [TAPVR], subdiaphragmatic
          • Total anomalous pulmonary venous return [TAPVR], supradiaphragmatic
      • renal artery with kidney Q27.2
        ICD-10-CM Diagnosis Code Q27.2

        Other congenital malformations of renal artery

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital malformation of renal artery NOS
        • Multiple renal arteries
    • cornea Q13.4
      (shape)
      ICD-10-CM Diagnosis Code Q13.4

      Other congenital corneal malformations

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of cornea NOS
      • Microcornea
      • Peter's anomaly
    • coronary artery or vein Q24.5
      ICD-10-CM Diagnosis Code Q24.5

      Malformation of coronary vessels

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital coronary (artery) aneurysm
    • cranium - see Anomaly, skull
    • cricoid cartilage Q31.8
      ICD-10-CM Diagnosis Code Q31.8

      Other congenital malformations of larynx

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Absence of larynx
      • Agenesis of larynx
      • Atresia of larynx
      • Congenital cleft thyroid cartilage
      • Congenital fissure of epiglottis
      • Congenital stenosis of larynx NEC
      • Posterior cleft of cricoid cartilage
    • cystic duct Q44.5
      ICD-10-CM Diagnosis Code Q44.5

      Other congenital malformations of bile ducts

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory hepatic duct
      • Biliary duct duplication
      • Congenital malformation of bile duct NOS
      • Cystic duct duplication
    • dental
      • alveolar - see Anomaly, alveolar
      • arch relationship M26.20
        ICD-10-CM Diagnosis Code M26.20

        Unspecified anomaly of dental arch relationship

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        • specified NEC M26.29
          ICD-10-CM Diagnosis Code M26.29

          Other anomalies of dental arch relationship

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
          Applicable To
          • Midline deviation of dental arch
          • Overbite (excessive) deep
          • Overbite (excessive) horizontal
          • Overbite (excessive) vertical
          • Posterior lingual occlusion of mandibular teeth
    • dentofacial M26.9
      ICD-10-CM Diagnosis Code M26.9

      Dentofacial anomaly, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      • alveolar - see Anomaly, alveolar
      • dental arch relationship M26.20
        ICD-10-CM Diagnosis Code M26.20

        Unspecified anomaly of dental arch relationship

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        • specified NEC M26.29
          ICD-10-CM Diagnosis Code M26.29

          Other anomalies of dental arch relationship

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
          Applicable To
          • Midline deviation of dental arch
          • Overbite (excessive) deep
          • Overbite (excessive) horizontal
          • Overbite (excessive) vertical
          • Posterior lingual occlusion of mandibular teeth
      • functional M26.50
        ICD-10-CM Diagnosis Code M26.50

        Dentofacial functional abnormalities, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        • specified NEC M26.59
          ICD-10-CM Diagnosis Code M26.59

          Other dentofacial functional abnormalities

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
          Applicable To
          • Centric occlusion (of teeth) NOS
          • Malocclusion due to abnormal swallowing
          • Malocclusion due to mouth breathing
          • Malocclusion due to tongue, lip or finger habits
      • jaw size M26.00
        ICD-10-CM Diagnosis Code M26.00

        Unspecified anomaly of jaw size

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        • macrogenia M26.05
          ICD-10-CM Diagnosis Code M26.05

          Macrogenia

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
        • mandibular
          • hyperplasia M26.03
            ICD-10-CM Diagnosis Code M26.03

            Mandibular hyperplasia

              2016 2017 2018 2019 2020 2021 Billable/Specific Code
          • hypoplasia M26.04
            ICD-10-CM Diagnosis Code M26.04

            Mandibular hypoplasia

              2016 2017 2018 2019 2020 2021 Billable/Specific Code
        • maxillary
          • hyperplasia M26.01
            ICD-10-CM Diagnosis Code M26.01

            Maxillary hyperplasia

              2016 2017 2018 2019 2020 2021 Billable/Specific Code
          • hypoplasia M26.02
            ICD-10-CM Diagnosis Code M26.02

            Maxillary hypoplasia

              2016 2017 2018 2019 2020 2021 Billable/Specific Code
        • microgenia M26.06
          ICD-10-CM Diagnosis Code M26.06

          Microgenia

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
        • specified type NEC M26.09
          ICD-10-CM Diagnosis Code M26.09

          Other specified anomalies of jaw size

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
      • jaw-cranial base relationship M26.10
        ICD-10-CM Diagnosis Code M26.10

        Unspecified anomaly of jaw-cranial base relationship

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        • asymmetry M26.12
          ICD-10-CM Diagnosis Code M26.12

          Other jaw asymmetry

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
          • maxillary M26.11
            ICD-10-CM Diagnosis Code M26.11

            Maxillary asymmetry

              2016 2017 2018 2019 2020 2021 Billable/Specific Code
        • specified type NEC M26.19
          ICD-10-CM Diagnosis Code M26.19

          Other specified anomalies of jaw-cranial base relationship

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
      • malocclusion M26.4
        ICD-10-CM Diagnosis Code M26.4

        Malocclusion, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        • dental arch relationship NEC M26.29
          ICD-10-CM Diagnosis Code M26.29

          Other anomalies of dental arch relationship

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
          Applicable To
          • Midline deviation of dental arch
          • Overbite (excessive) deep
          • Overbite (excessive) horizontal
          • Overbite (excessive) vertical
          • Posterior lingual occlusion of mandibular teeth
        • jaw size - see Anomaly, dentofacial, jaw size
        • jaw-cranial base relationship - see Anomaly, dentofacial, jaw-cranial base relationship
      • specified type NEC M26.89
        ICD-10-CM Diagnosis Code M26.89

        Other dentofacial anomalies

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
      • temporomandibular joint M26.60-
        ICD-10-CM Diagnosis Code M26.60-

        Temporomandibular joint disorder, unspecified

          2016 2017 - Converted to Parent Code 2018 2019 2020 2021 Non-Billable/Non-Specific Code
        • adhesions M26.61-
          ICD-10-CM Diagnosis Code M26.61-

          Adhesions and ankylosis of temporomandibular joint

            2016 2017 - Converted to Parent Code 2018 2019 2020 2021 Non-Billable/Non-Specific Code
        • ankylosis M26.61-
          ICD-10-CM Diagnosis Code M26.61-

          Adhesions and ankylosis of temporomandibular joint

            2016 2017 - Converted to Parent Code 2018 2019 2020 2021 Non-Billable/Non-Specific Code
        • arthralgia M26.62-
          ICD-10-CM Diagnosis Code M26.62-

          Arthralgia of temporomandibular joint

            2016 2017 - Converted to Parent Code 2018 2019 2020 2021 Non-Billable/Non-Specific Code
        • articular disc M26.63-
          ICD-10-CM Diagnosis Code M26.63-

          Articular disc disorder of temporomandibular joint

            2016 2017 - Converted to Parent Code 2018 2019 2020 2021 Non-Billable/Non-Specific Code
        • specified type NEC M26.69
          ICD-10-CM Diagnosis Code M26.69

          Other specified disorders of temporomandibular joint

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
      • tooth position, fully erupted M26.30
        ICD-10-CM Diagnosis Code M26.30

        Unspecified anomaly of tooth position of fully erupted tooth or teeth

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        Applicable To
        • Abnormal spacing of fully erupted tooth or teeth NOS
        • Displacement of fully erupted tooth or teeth NOS
        • Transposition of fully erupted tooth or teeth NOS
        • specified NEC M26.39
          ICD-10-CM Diagnosis Code M26.39

          Other anomalies of tooth position of fully erupted tooth or teeth

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
    • dermatoglyphic Q82.8
      ICD-10-CM Diagnosis Code Q82.8

      Other specified congenital malformations of skin

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Abnormal palmar creases
      • Accessory skin tags
      • Benign familial pemphigus [Hailey-Hailey]
      • Congenital poikiloderma
      • Cutis laxa (hyperelastica)
      • Dermatoglyphic anomalies
      • Inherited keratosis palmaris et plantaris
      • Keratosis follicularis [Darier-White]
      Type 1 Excludes
      • Ehlers-Danlos syndromes (Q79.6-)
    • diaphragm Q79.1
      (apertures)
      ICD-10-CM Diagnosis Code Q79.1

      Other congenital malformations of diaphragm

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Absence of diaphragm
      • Congenital malformation of diaphragm NOS
      • Eventration of diaphragm
    • digestive organ(s) Q45.9
      ICD-10-CM Diagnosis Code Q45.9

      Congenital malformation of digestive system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of digestive system
      • Congenital deformity of digestive system
      • lower Q43.9
        ICD-10-CM Diagnosis Code Q43.9

        Congenital malformation of intestine, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • upper Q40.9
        ICD-10-CM Diagnosis Code Q40.9

        Congenital malformation of upper alimentary tract, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital anomaly of upper alimentary tract
        • Congenital deformity of upper alimentary tract
    • distance, interarch M26.25
      (excessive) (inadequate)
      ICD-10-CM Diagnosis Code M26.25

      Anomalies of interarch distance

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
    • distribution, coronary artery Q24.5
      ICD-10-CM Diagnosis Code Q24.5

      Malformation of coronary vessels

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital coronary (artery) aneurysm
    • ductus
      • arteriosus Q25.0
        ICD-10-CM Diagnosis Code Q25.0

        Patent ductus arteriosus

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Patent ductus Botallo
        • Persistent ductus arteriosus
      • botalli Q25.0
        ICD-10-CM Diagnosis Code Q25.0

        Patent ductus arteriosus

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Patent ductus Botallo
        • Persistent ductus arteriosus
    • duodenum Q43.9
      ICD-10-CM Diagnosis Code Q43.9

      Congenital malformation of intestine, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • dura (brain) Q04.9
      ICD-10-CM Diagnosis Code Q04.9

      Congenital malformation of brain, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly NOS of brain
      • Congenital deformity NOS of brain
      • Congenital disease or lesion NOS of brain
      • Multiple anomalies NOS of brain, congenital
      • spinal cord Q06.9
        ICD-10-CM Diagnosis Code Q06.9

        Congenital malformation of spinal cord, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital anomaly NOS of spinal cord
        • Congenital deformity NOS of spinal cord
        • Congenital disease or lesion NOS of spinal cord
    • ear (external) Q17.9
      ICD-10-CM Diagnosis Code Q17.9

      Congenital malformation of ear, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of ear NOS
      • causing impairment of hearing Q16.9
        ICD-10-CM Diagnosis Code Q16.9

        Congenital malformation of ear causing impairment of hearing, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital absence of ear NOS
      • inner Q16.5
        ICD-10-CM Diagnosis Code Q16.5

        Congenital malformation of inner ear

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital anomaly of membranous labyrinth
        • Congenital anomaly of organ of Corti
      • middle Q16.4
        (causing impairment of hearing)
        ICD-10-CM Diagnosis Code Q16.4

        Other congenital malformations of middle ear

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital malformation of middle ear NOS
      • ossicles Q16.3
        ICD-10-CM Diagnosis Code Q16.3

        Congenital malformation of ear ossicles

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital fusion of ear ossicles
    • Ebstein's Q22.5
      (heart) (tricuspid valve)
      ICD-10-CM Diagnosis Code Q22.5

      Ebstein's anomaly

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • ectodermal Q82.9
      ICD-10-CM Diagnosis Code Q82.9

      Congenital malformation of skin, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • Eisenmenger's Q21.8
      (ventricular septal defect)
      ICD-10-CM Diagnosis Code Q21.8

      Other congenital malformations of cardiac septa

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Eisenmenger's defect
      • Pentalogy of Fallot
      Code Also
      • if applicable:
      • Eisenmenger's complex (I27.83)
      • Eisenmenger's syndrome (I27.83)
    • ejaculatory duct Q55.4
      ICD-10-CM Diagnosis Code Q55.4

      Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate

        2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx POA Exempt
      Applicable To
      • Absence or aplasia of prostate
      • Absence or aplasia of spermatic cord
      • Congenital malformation of vas deferens, epididymis, seminal vesicles or prostate NOS
    • elbow Q74.0
      ICD-10-CM Diagnosis Code Q74.0

      Other congenital malformations of upper limb(s), including shoulder girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory carpal bones
      • Cleidocranial dysostosis
      • Congenital pseudarthrosis of clavicle
      • Macrodactylia (fingers)
      • Madelung's deformity
      • Radioulnar synostosis
      • Sprengel's deformity
      • Triphalangeal thumb
    • endocrine gland NEC Q89.2
      ICD-10-CM Diagnosis Code Q89.2

      Congenital malformations of other endocrine glands

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of parathyroid or thyroid gland
      • Persistent thyroglossal duct
      • Thyroglossal cyst
      Type 1 Excludes
      • congenital goiter (E03.0)
      • congenital hypothyroidism (E03.1)
    • epididymis Q55.4
      ICD-10-CM Diagnosis Code Q55.4

      Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate

        2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx POA Exempt
      Applicable To
      • Absence or aplasia of prostate
      • Absence or aplasia of spermatic cord
      • Congenital malformation of vas deferens, epididymis, seminal vesicles or prostate NOS
    • epiglottis Q31.8
      ICD-10-CM Diagnosis Code Q31.8

      Other congenital malformations of larynx

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Absence of larynx
      • Agenesis of larynx
      • Atresia of larynx
      • Congenital cleft thyroid cartilage
      • Congenital fissure of epiglottis
      • Congenital stenosis of larynx NEC
      • Posterior cleft of cricoid cartilage
    • esophagus Q39.9
      ICD-10-CM Diagnosis Code Q39.9

      Congenital malformation of esophagus, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • eustachian tube Q17.8
      ICD-10-CM Diagnosis Code Q17.8

      Other specified congenital malformations of ear

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of lobe of ear
    • eye Q15.9
      ICD-10-CM Diagnosis Code Q15.9

      Congenital malformation of eye, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of eye
      • Congenital deformity of eye
      • anterior segment Q13.9
        ICD-10-CM Diagnosis Code Q13.9

        Congenital malformation of anterior segment of eye, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        • specified NEC Q13.89
          ICD-10-CM Diagnosis Code Q13.89

          Other congenital malformations of anterior segment of eye

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • posterior segment Q14.9
        ICD-10-CM Diagnosis Code Q14.9

        Congenital malformation of posterior segment of eye, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        • specified NEC Q14.8
          ICD-10-CM Diagnosis Code Q14.8

          Other congenital malformations of posterior segment of eye

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Coloboma of the fundus
      • ptosis Q10.0
        (eyelid)
        ICD-10-CM Diagnosis Code Q10.0

        Congenital ptosis

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • specified NEC Q15.8
        ICD-10-CM Diagnosis Code Q15.8

        Other specified congenital malformations of eye

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • eyebrow Q18.8
      ICD-10-CM Diagnosis Code Q18.8

      Other specified congenital malformations of face and neck

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Medial cyst of face and neck
      • Medial fistula of face and neck
      • Medial sinus of face and neck
    • eyelid Q10.3
      ICD-10-CM Diagnosis Code Q10.3

      Other congenital malformations of eyelid

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Ablepharon
      • Blepharophimosis, congenital
      • Coloboma of eyelid
      • Congenital absence or agenesis of cilia
      • Congenital absence or agenesis of eyelid
      • Congenital accessory eyelid
      • Congenital accessory eye muscle
      • Congenital malformation of eyelid NOS
      • ptosis Q10.0
        ICD-10-CM Diagnosis Code Q10.0

        Congenital ptosis

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • face Q18.9
      ICD-10-CM Diagnosis Code Q18.9

      Congenital malformation of face and neck, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly NOS of face and neck
      • bone Q75.9
        (s)
        ICD-10-CM Diagnosis Code Q75.9

        Congenital malformation of skull and face bones, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital anomaly of face bones NOS
        • Congenital anomaly of skull NOS
    • fallopian tube Q50.6
      ICD-10-CM Diagnosis Code Q50.6

      Other congenital malformations of fallopian tube and broad ligament

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Absence of fallopian tube and broad ligament
      • Accessory fallopian tube and broad ligament
      • Atresia of fallopian tube and broad ligament
      • Congenital malformation of fallopian tube or broad ligament NOS
    • fascia Q79.9
      ICD-10-CM Diagnosis Code Q79.9

      Congenital malformation of musculoskeletal system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of musculoskeletal system NOS
      • Congenital deformity of musculoskeletal system NOS
    • femur NEC Q74.2
      ICD-10-CM Diagnosis Code Q74.2

      Other congenital malformations of lower limb(s), including pelvic girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital fusion of sacroiliac joint
      • Congenital malformation of ankle joint
      • Congenital malformation of sacroiliac joint
      Type 1 Excludes
      • anteversion of femur (neck) (Q65.89)
    • fibula NEC Q74.2
      ICD-10-CM Diagnosis Code Q74.2

      Other congenital malformations of lower limb(s), including pelvic girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital fusion of sacroiliac joint
      • Congenital malformation of ankle joint
      • Congenital malformation of sacroiliac joint
      Type 1 Excludes
      • anteversion of femur (neck) (Q65.89)
    • finger Q74.0
      ICD-10-CM Diagnosis Code Q74.0

      Other congenital malformations of upper limb(s), including shoulder girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory carpal bones
      • Cleidocranial dysostosis
      • Congenital pseudarthrosis of clavicle
      • Macrodactylia (fingers)
      • Madelung's deformity
      • Radioulnar synostosis
      • Sprengel's deformity
      • Triphalangeal thumb
    • fixation, intestine Q43.3
      ICD-10-CM Diagnosis Code Q43.3

      Congenital malformations of intestinal fixation

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital omental, anomalous adhesions [bands]
      • Congenital peritoneal adhesions [bands]
      • Incomplete rotation of cecum and colon
      • Insufficient rotation of cecum and colon
      • Jackson's membrane
      • Malrotation of colon
      • Rotation failure of cecum and colon
      • Universal mesentery
    • flexion (joint) Q74.9
      ICD-10-CM Diagnosis Code Q74.9

      Unspecified congenital malformation of limb(s)

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of limb(s) NOS
      • hip or thigh Q65.89
        ICD-10-CM Diagnosis Code Q65.89

        Other specified congenital deformities of hip

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Anteversion of femoral neck
        • Congenital acetabular dysplasia
    • foot NEC Q74.2
      ICD-10-CM Diagnosis Code Q74.2

      Other congenital malformations of lower limb(s), including pelvic girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital fusion of sacroiliac joint
      • Congenital malformation of ankle joint
      • Congenital malformation of sacroiliac joint
      Type 1 Excludes
      • anteversion of femur (neck) (Q65.89)
      • varus Q66.3-
        (congenital)
        ICD-10-CM Diagnosis Code Q66.3-

        Other congenital varus deformities of feet

          2016 2017 2018 2019 2020 - Converted to Parent Code 2021 Non-Billable/Non-Specific Code
        Applicable To
        • Hallux varus, congenital
    • foramen
      • Botalli Q21.1
        ICD-10-CM Diagnosis Code Q21.1

        Atrial septal defect

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Coronary sinus defect
        • Patent or persistent foramen ovale
        • Patent or persistent ostium secundum defect (type II)
        • Patent or persistent sinus venosus defect
      • ovale Q21.1
        ICD-10-CM Diagnosis Code Q21.1

        Atrial septal defect

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Coronary sinus defect
        • Patent or persistent foramen ovale
        • Patent or persistent ostium secundum defect (type II)
        • Patent or persistent sinus venosus defect
    • forearm Q74.0
      ICD-10-CM Diagnosis Code Q74.0

      Other congenital malformations of upper limb(s), including shoulder girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory carpal bones
      • Cleidocranial dysostosis
      • Congenital pseudarthrosis of clavicle
      • Macrodactylia (fingers)
      • Madelung's deformity
      • Radioulnar synostosis
      • Sprengel's deformity
      • Triphalangeal thumb
    • forehead Q75.8
      ICD-10-CM Diagnosis Code Q75.8

      Other specified congenital malformations of skull and face bones

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Absence of skull bone, congenital
      • Congenital deformity of forehead
      • Platybasia
    • form, teeth K00.2
      ICD-10-CM Diagnosis Code K00.2

      Abnormalities of size and form of teeth

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Concrescence of teeth
      • Fusion of teeth
      • Gemination of teeth
      • Dens evaginatus
      • Dens in dente
      • Dens invaginatus
      • Enamel pearls
      • Macrodontia
      • Microdontia
      • Peg-shaped [conical] teeth
      • Supernumerary roots
      • Taurodontism
      • Tuberculum paramolare
      Type 1 Excludes
      • abnormalities of teeth due to congenital syphilis (A50.5)
      • tuberculum Carabelli, which is regarded as a normal variation and should not be coded
    • fovea centralis Q14.1
      ICD-10-CM Diagnosis Code Q14.1

      Congenital malformation of retina

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital retinal aneurysm
    • frontal bone - see Anomaly, skull
    • gallbladder Q44.1
      (position) (shape) (size)
      ICD-10-CM Diagnosis Code Q44.1

      Other congenital malformations of gallbladder

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of gallbladder NOS
      • Intrahepatic gallbladder
    • Gartner's duct Q52.4
      ICD-10-CM Diagnosis Code Q52.4

      Other congenital malformations of vagina

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Canal of Nuck cyst, congenital
      • Congenital malformation of vagina NOS
      • Embryonic vaginal cyst
      • Gartner's duct cyst
    • gastrointestinal tract Q45.9
      ICD-10-CM Diagnosis Code Q45.9

      Congenital malformation of digestive system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of digestive system
      • Congenital deformity of digestive system
    • genitalia, genital organ(s)
      • female Q52.9
        ICD-10-CM Diagnosis Code Q52.9

        Congenital malformation of female genitalia, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        • external Q52.70
          ICD-10-CM Diagnosis Code Q52.70

          Unspecified congenital malformations of vulva

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Congenital malformation of vulva NOS
        • internal NOS Q52.9
          ICD-10-CM Diagnosis Code Q52.9

          Congenital malformation of female genitalia, unspecified

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • male Q55.9
        ICD-10-CM Diagnosis Code Q55.9

        Congenital malformation of male genital organ, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx POA Exempt
        Applicable To
        • Congenital anomaly of male genital organ
        • Congenital deformity of male genital organ
        • hydrocele P83.5
          ICD-10-CM Diagnosis Code P83.5

          Congenital hydrocele

            2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx Code on Newborn Record
        • specified NEC Q55.8
          ICD-10-CM Diagnosis Code Q55.8

          Other specified congenital malformations of male genital organs

            2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx POA Exempt
    • genitourinary NEC
      • female Q52.9
        ICD-10-CM Diagnosis Code Q52.9

        Congenital malformation of female genitalia, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • male Q55.9
        ICD-10-CM Diagnosis Code Q55.9

        Congenital malformation of male genital organ, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx POA Exempt
        Applicable To
        • Congenital anomaly of male genital organ
        • Congenital deformity of male genital organ
    • Gerbode Q21.0
      ICD-10-CM Diagnosis Code Q21.0

      Ventricular septal defect

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Roger's disease
    • glottis Q31.8
      ICD-10-CM Diagnosis Code Q31.8

      Other congenital malformations of larynx

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Absence of larynx
      • Agenesis of larynx
      • Atresia of larynx
      • Congenital cleft thyroid cartilage
      • Congenital fissure of epiglottis
      • Congenital stenosis of larynx NEC
      • Posterior cleft of cricoid cartilage
    • granulation or granulocyte, genetic D72.0
      (constitutional) (leukocyte)
      ICD-10-CM Diagnosis Code D72.0

      Genetic anomalies of leukocytes

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Alder (granulation) (granulocyte) anomaly
      • Alder syndrome
      • Hereditary leukocytic hypersegmentation
      • Hereditary leukocytic hyposegmentation
      • Hereditary leukomelanopathy
      • May-Hegglin (granulation) (granulocyte) anomaly
      • May-Hegglin syndrome
      • Pelger-Huët (granulation) (granulocyte) anomaly
      • Pelger-Huët syndrome
      Type 1 Excludes
      • Chédiak (-Steinbrinck)-Higashi syndrome (E70.330)
    • gum Q38.6
      ICD-10-CM Diagnosis Code Q38.6

      Other congenital malformations of mouth

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of mouth NOS
    • gyri Q07.9
      ICD-10-CM Diagnosis Code Q07.9

      Congenital malformation of nervous system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly NOS of nervous system
      • Congenital deformity NOS of nervous system
      • Congenital disease or lesion NOS of nervous system
    • hair Q84.2
      ICD-10-CM Diagnosis Code Q84.2

      Other congenital malformations of hair

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital hypertrichosis
      • Congenital malformation of hair NOS
      • Persistent lanugo
    • hand Q74.0
      ICD-10-CM Diagnosis Code Q74.0

      Other congenital malformations of upper limb(s), including shoulder girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory carpal bones
      • Cleidocranial dysostosis
      • Congenital pseudarthrosis of clavicle
      • Macrodactylia (fingers)
      • Madelung's deformity
      • Radioulnar synostosis
      • Sprengel's deformity
      • Triphalangeal thumb
    • hard tissue formation in pulp K04.3
      ICD-10-CM Diagnosis Code K04.3

      Abnormal hard tissue formation in pulp

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Secondary or irregular dentine
    • head - see Anomaly, skull
    • heart Q24.9
      ICD-10-CM Diagnosis Code Q24.9

      Congenital malformation of heart, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of heart
      • Congenital disease of heart
      • auricle Q20.8
        ICD-10-CM Diagnosis Code Q20.8

        Other congenital malformations of cardiac chambers and connections

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Cor binoculare
      • bands or folds Q24.8
        ICD-10-CM Diagnosis Code Q24.8

        Other specified congenital malformations of heart

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital diverticulum of left ventricle
        • Congenital malformation of myocardium
        • Congenital malformation of pericardium
        • Malposition of heart
        • Uhl's disease
      • fibroelastosis cordis I42.4
        ICD-10-CM Diagnosis Code I42.4

        Endocardial fibroelastosis

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        Applicable To
        • Congenital cardiomyopathy
        • Elastomyofibrosis
      • obstructive NEC Q22.6
        ICD-10-CM Diagnosis Code Q22.6

        Hypoplastic right heart syndrome

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • patent ductus arteriosus Q25.0
        (Botalli)
        ICD-10-CM Diagnosis Code Q25.0

        Patent ductus arteriosus

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Patent ductus Botallo
        • Persistent ductus arteriosus
      • septum Q21.9
        ICD-10-CM Diagnosis Code Q21.9

        Congenital malformation of cardiac septum, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Septal (heart) defect NOS
        • auricular Q21.1
          ICD-10-CM Diagnosis Code Q21.1

          Atrial septal defect

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Coronary sinus defect
          • Patent or persistent foramen ovale
          • Patent or persistent ostium secundum defect (type II)
          • Patent or persistent sinus venosus defect
        • interatrial Q21.1
          ICD-10-CM Diagnosis Code Q21.1

          Atrial septal defect

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Coronary sinus defect
          • Patent or persistent foramen ovale
          • Patent or persistent ostium secundum defect (type II)
          • Patent or persistent sinus venosus defect
        • interventricular Q21.0
          ICD-10-CM Diagnosis Code Q21.0

          Ventricular septal defect

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Roger's disease
          • with pulmonary stenosis or atresia, dextraposition of aorta and hypertrophy of right ventricle Q21.3
            ICD-10-CM Diagnosis Code Q21.3

            Tetralogy of Fallot

              2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
            Applicable To
            • Ventricular septal defect with pulmonary stenosis or atresia, dextroposition of aorta and hypertrophy of right ventricle.
        • specified NEC Q21.8
          ICD-10-CM Diagnosis Code Q21.8

          Other congenital malformations of cardiac septa

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Eisenmenger's defect
          • Pentalogy of Fallot
          Code Also
          • if applicable:
          • Eisenmenger's complex (I27.83)
          • Eisenmenger's syndrome (I27.83)
        • ventricular Q21.0
          ICD-10-CM Diagnosis Code Q21.0

          Ventricular septal defect

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Roger's disease
          • with pulmonary stenosis or atresia, dextraposition of aorta and hypertrophy of right ventricle Q21.3
            ICD-10-CM Diagnosis Code Q21.3

            Tetralogy of Fallot

              2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
            Applicable To
            • Ventricular septal defect with pulmonary stenosis or atresia, dextroposition of aorta and hypertrophy of right ventricle.
      • tetralogy of Fallot Q21.3
        ICD-10-CM Diagnosis Code Q21.3

        Tetralogy of Fallot

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Ventricular septal defect with pulmonary stenosis or atresia, dextroposition of aorta and hypertrophy of right ventricle.
      • valve NEC Q24.8
        ICD-10-CM Diagnosis Code Q24.8

        Other specified congenital malformations of heart

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital diverticulum of left ventricle
        • Congenital malformation of myocardium
        • Congenital malformation of pericardium
        • Malposition of heart
        • Uhl's disease
        • aortic
          • bicuspid valve Q23.1
            ICD-10-CM Diagnosis Code Q23.1

            Congenital insufficiency of aortic valve

              2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
            Applicable To
            • Bicuspid aortic valve
            • Congenital aortic insufficiency
          • insufficiency Q23.1
            ICD-10-CM Diagnosis Code Q23.1

            Congenital insufficiency of aortic valve

              2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
            Applicable To
            • Bicuspid aortic valve
            • Congenital aortic insufficiency
          • stenosis Q23.0
            ICD-10-CM Diagnosis Code Q23.0

            Congenital stenosis of aortic valve

              2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
            Applicable To
            • Congenital aortic atresia
            • Congenital aortic stenosis NOS
            Type 1 Excludes
            • congenital stenosis of aortic valve in hypoplastic left heart syndrome (Q23.4)
            • congenital subaortic stenosis (Q24.4)
            • supravalvular aortic stenosis (congenital) (Q25.3)
            • subaortic Q24.4
              ICD-10-CM Diagnosis Code Q24.4

              Congenital subaortic stenosis

                2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        • mitral
          • insufficiency Q23.3
            ICD-10-CM Diagnosis Code Q23.3

            Congenital mitral insufficiency

              2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          • stenosis Q23.2
            ICD-10-CM Diagnosis Code Q23.2

            Congenital mitral stenosis

              2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
            Applicable To
            • Congenital mitral atresia
        • pulmonary Q22.3
          ICD-10-CM Diagnosis Code Q22.3

          Other congenital malformations of pulmonary valve

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Congenital malformation of pulmonary valve NOS
          • Supernumerary cusps of pulmonary valve
          • atresia Q22.0
            ICD-10-CM Diagnosis Code Q22.0

            Pulmonary valve atresia

              2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          • insufficiency Q22.2
            ICD-10-CM Diagnosis Code Q22.2

            Congenital pulmonary valve insufficiency

              2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
            Applicable To
            • Congenital pulmonary valve regurgitation
          • stenosis Q22.1
            ICD-10-CM Diagnosis Code Q22.1

            Congenital pulmonary valve stenosis

              2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
            • infundibular Q24.3
              ICD-10-CM Diagnosis Code Q24.3

              Pulmonary infundibular stenosis

                2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
              Applicable To
              • Subvalvular pulmonic stenosis
            • subvalvular Q24.3
              ICD-10-CM Diagnosis Code Q24.3

              Pulmonary infundibular stenosis

                2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
              Applicable To
              • Subvalvular pulmonic stenosis
        • tricuspid
          • atresia Q22.4
            ICD-10-CM Diagnosis Code Q22.4

            Congenital tricuspid stenosis

              2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
            Applicable To
            • Congenital tricuspid atresia
          • stenosis Q22.4
            ICD-10-CM Diagnosis Code Q22.4

            Congenital tricuspid stenosis

              2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
            Applicable To
            • Congenital tricuspid atresia
      • ventricle Q20.8
        ICD-10-CM Diagnosis Code Q20.8

        Other congenital malformations of cardiac chambers and connections

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Cor binoculare
    • heel NEC Q74.2
      ICD-10-CM Diagnosis Code Q74.2

      Other congenital malformations of lower limb(s), including pelvic girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital fusion of sacroiliac joint
      • Congenital malformation of ankle joint
      • Congenital malformation of sacroiliac joint
      Type 1 Excludes
      • anteversion of femur (neck) (Q65.89)
    • Hegglin's D72.0
      ICD-10-CM Diagnosis Code D72.0

      Genetic anomalies of leukocytes

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Alder (granulation) (granulocyte) anomaly
      • Alder syndrome
      • Hereditary leukocytic hypersegmentation
      • Hereditary leukocytic hyposegmentation
      • Hereditary leukomelanopathy
      • May-Hegglin (granulation) (granulocyte) anomaly
      • May-Hegglin syndrome
      • Pelger-Huët (granulation) (granulocyte) anomaly
      • Pelger-Huët syndrome
      Type 1 Excludes
      • Chédiak (-Steinbrinck)-Higashi syndrome (E70.330)
    • hemianencephaly Q00.0
      ICD-10-CM Diagnosis Code Q00.0

      Anencephaly

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Acephaly
      • Acrania
      • Amyelencephaly
      • Hemianencephaly
      • Hemicephaly
    • hemicephaly Q00.0
      ICD-10-CM Diagnosis Code Q00.0

      Anencephaly

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Acephaly
      • Acrania
      • Amyelencephaly
      • Hemianencephaly
      • Hemicephaly
    • hemicrania Q00.0
      ICD-10-CM Diagnosis Code Q00.0

      Anencephaly

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Acephaly
      • Acrania
      • Amyelencephaly
      • Hemianencephaly
      • Hemicephaly
    • hepatic duct Q44.5
      ICD-10-CM Diagnosis Code Q44.5

      Other congenital malformations of bile ducts

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory hepatic duct
      • Biliary duct duplication
      • Congenital malformation of bile duct NOS
      • Cystic duct duplication
    • hip NEC Q74.2
      ICD-10-CM Diagnosis Code Q74.2

      Other congenital malformations of lower limb(s), including pelvic girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital fusion of sacroiliac joint
      • Congenital malformation of ankle joint
      • Congenital malformation of sacroiliac joint
      Type 1 Excludes
      • anteversion of femur (neck) (Q65.89)
    • hourglass stomach Q40.2
      ICD-10-CM Diagnosis Code Q40.2

      Other specified congenital malformations of stomach

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital displacement of stomach
      • Congenital diverticulum of stomach
      • Congenital hourglass stomach
      • Congenital duplication of stomach
      • Megalogastria
      • Microgastria
    • humerus Q74.0
      ICD-10-CM Diagnosis Code Q74.0

      Other congenital malformations of upper limb(s), including shoulder girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory carpal bones
      • Cleidocranial dysostosis
      • Congenital pseudarthrosis of clavicle
      • Macrodactylia (fingers)
      • Madelung's deformity
      • Radioulnar synostosis
      • Sprengel's deformity
      • Triphalangeal thumb
    • hydatid of Morgagni
      • female Q50.5
        ICD-10-CM Diagnosis Code Q50.5

        Embryonic cyst of broad ligament

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Epoophoron cyst
        • Parovarian cyst
      • male (epididymal) Q55.4
        ICD-10-CM Diagnosis Code Q55.4

        Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate

          2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx POA Exempt
        Applicable To
        • Absence or aplasia of prostate
        • Absence or aplasia of spermatic cord
        • Congenital malformation of vas deferens, epididymis, seminal vesicles or prostate NOS
        • testicular Q55.29
          ICD-10-CM Diagnosis Code Q55.29

          Other congenital malformations of testis and scrotum

            2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx POA Exempt
    • hymen Q52.4
      ICD-10-CM Diagnosis Code Q52.4

      Other congenital malformations of vagina

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Canal of Nuck cyst, congenital
      • Congenital malformation of vagina NOS
      • Embryonic vaginal cyst
      • Gartner's duct cyst
    • hypersegmentation of neutrophils, hereditary D72.0
      ICD-10-CM Diagnosis Code D72.0

      Genetic anomalies of leukocytes

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Alder (granulation) (granulocyte) anomaly
      • Alder syndrome
      • Hereditary leukocytic hypersegmentation
      • Hereditary leukocytic hyposegmentation
      • Hereditary leukomelanopathy
      • May-Hegglin (granulation) (granulocyte) anomaly
      • May-Hegglin syndrome
      • Pelger-Huët (granulation) (granulocyte) anomaly
      • Pelger-Huët syndrome
      Type 1 Excludes
      • Chédiak (-Steinbrinck)-Higashi syndrome (E70.330)
    • hypophyseal Q89.2
      ICD-10-CM Diagnosis Code Q89.2

      Congenital malformations of other endocrine glands

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of parathyroid or thyroid gland
      • Persistent thyroglossal duct
      • Thyroglossal cyst
      Type 1 Excludes
      • congenital goiter (E03.0)
      • congenital hypothyroidism (E03.1)
    • ileocecal Q43.9
      (coil) (valve)
      ICD-10-CM Diagnosis Code Q43.9

      Congenital malformation of intestine, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • ileum Q43.9
      ICD-10-CM Diagnosis Code Q43.9

      Congenital malformation of intestine, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • ilium NEC Q74.2
      ICD-10-CM Diagnosis Code Q74.2

      Other congenital malformations of lower limb(s), including pelvic girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital fusion of sacroiliac joint
      • Congenital malformation of ankle joint
      • Congenital malformation of sacroiliac joint
      Type 1 Excludes
      • anteversion of femur (neck) (Q65.89)
    • integument Q84.9
      ICD-10-CM Diagnosis Code Q84.9

      Congenital malformation of integument, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of integument NOS
      • Congenital deformity of integument NOS
      • specified NEC Q84.8
        ICD-10-CM Diagnosis Code Q84.8

        Other specified congenital malformations of integument

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Aplasia cutis congenita
    • interarch distance M26.25
      (excessive) (inadequate)
      ICD-10-CM Diagnosis Code M26.25

      Anomalies of interarch distance

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
    • intervertebral cartilage or disc Q76.49
      ICD-10-CM Diagnosis Code Q76.49

      Other congenital malformations of spine, not associated with scoliosis

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of vertebra NOS
      • Congenital fusion of spine NOS
      • Congenital malformation of lumbosacral (joint) (region) NOS
      • Congenital malformation of spine NOS
      • Hemivertebra NOS
      • Malformation of spine NOS
      • Platyspondylisis NOS
      • Supernumerary vertebra NOS
    • intestine (large) (small) Q43.9
      ICD-10-CM Diagnosis Code Q43.9

      Congenital malformation of intestine, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • with anomalous adhesions, fixation or malrotation Q43.3
        ICD-10-CM Diagnosis Code Q43.3

        Congenital malformations of intestinal fixation

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital omental, anomalous adhesions [bands]
        • Congenital peritoneal adhesions [bands]
        • Incomplete rotation of cecum and colon
        • Insufficient rotation of cecum and colon
        • Jackson's membrane
        • Malrotation of colon
        • Rotation failure of cecum and colon
        • Universal mesentery
    • iris Q13.2
      ICD-10-CM Diagnosis Code Q13.2

      Other congenital malformations of iris

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Anisocoria, congenital
      • Atresia of pupil
      • Congenital malformation of iris NOS
      • Corectopia
    • ischium NEC Q74.2
      ICD-10-CM Diagnosis Code Q74.2

      Other congenital malformations of lower limb(s), including pelvic girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital fusion of sacroiliac joint
      • Congenital malformation of ankle joint
      • Congenital malformation of sacroiliac joint
      Type 1 Excludes
      • anteversion of femur (neck) (Q65.89)
    • jaw - see Anomaly, dentofacial
    • jaw-cranial base relationship - see Anomaly, dentofacial, jaw-cranial base relationship
    • jejunum Q43.8
      ICD-10-CM Diagnosis Code Q43.8

      Other specified congenital malformations of intestine

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital blind loop syndrome
      • Congenital diverticulitis, colon
      • Congenital diverticulum, intestine
      • Dolichocolon
      • Megaloappendix
      • Megaloduodenum
      • Microcolon
      • Transposition of appendix
      • Transposition of colon
      • Transposition of intestine
    • joint Q74.9
      ICD-10-CM Diagnosis Code Q74.9

      Unspecified congenital malformation of limb(s)

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of limb(s) NOS
      • specified NEC Q74.8
        ICD-10-CM Diagnosis Code Q74.8

        Other specified congenital malformations of limb(s)

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • Jordan's D72.0
      ICD-10-CM Diagnosis Code D72.0

      Genetic anomalies of leukocytes

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Alder (granulation) (granulocyte) anomaly
      • Alder syndrome
      • Hereditary leukocytic hypersegmentation
      • Hereditary leukocytic hyposegmentation
      • Hereditary leukomelanopathy
      • May-Hegglin (granulation) (granulocyte) anomaly
      • May-Hegglin syndrome
      • Pelger-Huët (granulation) (granulocyte) anomaly
      • Pelger-Huët syndrome
      Type 1 Excludes
      • Chédiak (-Steinbrinck)-Higashi syndrome (E70.330)
    • kidney(s) (calyx) (pelvis) Q63.9
      ICD-10-CM Diagnosis Code Q63.9

      Congenital malformation of kidney, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • artery Q27.2
        ICD-10-CM Diagnosis Code Q27.2

        Other congenital malformations of renal artery

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital malformation of renal artery NOS
        • Multiple renal arteries
      • specified NEC Q63.8
        ICD-10-CM Diagnosis Code Q63.8

        Other specified congenital malformations of kidney

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital renal calculi
    • Klippel-Feil Q76.1
      (brevicollis)
      ICD-10-CM Diagnosis Code Q76.1

      Klippel-Feil syndrome

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Cervical fusion syndrome
    • knee Q74.1
      ICD-10-CM Diagnosis Code Q74.1

      Congenital malformation of knee

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of patella
      • Congenital dislocation of patella
      • Congenital genu valgum
      • Congenital genu varum
      • Rudimentary patella
      Type 1 Excludes
      • congenital dislocation of knee (Q68.2)
      • congenital genu recurvatum (Q68.2)
      • nail patella syndrome (Q87.2)
    • labium Q52.70
      (majus) (minus)
      ICD-10-CM Diagnosis Code Q52.70

      Unspecified congenital malformations of vulva

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of vulva NOS
    • labyrinth, membranous Q16.5
      ICD-10-CM Diagnosis Code Q16.5

      Congenital malformation of inner ear

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of membranous labyrinth
      • Congenital anomaly of organ of Corti
    • lacrimal apparatus or duct Q10.6
      ICD-10-CM Diagnosis Code Q10.6

      Other congenital malformations of lacrimal apparatus

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of lacrimal apparatus NOS
    • larynx, laryngeal (muscle) Q31.9
      ICD-10-CM Diagnosis Code Q31.9

      Congenital malformation of larynx, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • web Q31.0
        (bed)
        ICD-10-CM Diagnosis Code Q31.0

        Web of larynx

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Glottic web of larynx
        • Subglottic web of larynx
        • Web of larynx NOS
    • lens Q12.9
      ICD-10-CM Diagnosis Code Q12.9

      Congenital lens malformation, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • leukocytes, genetic D72.0
      ICD-10-CM Diagnosis Code D72.0

      Genetic anomalies of leukocytes

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Alder (granulation) (granulocyte) anomaly
      • Alder syndrome
      • Hereditary leukocytic hypersegmentation
      • Hereditary leukocytic hyposegmentation
      • Hereditary leukomelanopathy
      • May-Hegglin (granulation) (granulocyte) anomaly
      • May-Hegglin syndrome
      • Pelger-Huët (granulation) (granulocyte) anomaly
      • Pelger-Huët syndrome
      Type 1 Excludes
      • Chédiak (-Steinbrinck)-Higashi syndrome (E70.330)
      • granulation D72.0
        (constitutional)
        ICD-10-CM Diagnosis Code D72.0

        Genetic anomalies of leukocytes

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        Applicable To
        • Alder (granulation) (granulocyte) anomaly
        • Alder syndrome
        • Hereditary leukocytic hypersegmentation
        • Hereditary leukocytic hyposegmentation
        • Hereditary leukomelanopathy
        • May-Hegglin (granulation) (granulocyte) anomaly
        • May-Hegglin syndrome
        • Pelger-Huët (granulation) (granulocyte) anomaly
        • Pelger-Huët syndrome
        Type 1 Excludes
        • Chédiak (-Steinbrinck)-Higashi syndrome (E70.330)
    • lid Q10.3
      (fold)
      ICD-10-CM Diagnosis Code Q10.3

      Other congenital malformations of eyelid

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Ablepharon
      • Blepharophimosis, congenital
      • Coloboma of eyelid
      • Congenital absence or agenesis of cilia
      • Congenital absence or agenesis of eyelid
      • Congenital accessory eyelid
      • Congenital accessory eye muscle
      • Congenital malformation of eyelid NOS
    • ligament Q79.9
      ICD-10-CM Diagnosis Code Q79.9

      Congenital malformation of musculoskeletal system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of musculoskeletal system NOS
      • Congenital deformity of musculoskeletal system NOS
      • broad Q50.6
        ICD-10-CM Diagnosis Code Q50.6

        Other congenital malformations of fallopian tube and broad ligament

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Absence of fallopian tube and broad ligament
        • Accessory fallopian tube and broad ligament
        • Atresia of fallopian tube and broad ligament
        • Congenital malformation of fallopian tube or broad ligament NOS
      • round Q52.8
        ICD-10-CM Diagnosis Code Q52.8

        Other specified congenital malformations of female genitalia

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • limb Q74.9
      ICD-10-CM Diagnosis Code Q74.9

      Unspecified congenital malformation of limb(s)

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of limb(s) NOS
      • lower NEC Q74.2
        ICD-10-CM Diagnosis Code Q74.2

        Other congenital malformations of lower limb(s), including pelvic girdle

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital fusion of sacroiliac joint
        • Congenital malformation of ankle joint
        • Congenital malformation of sacroiliac joint
        Type 1 Excludes
        • anteversion of femur (neck) (Q65.89)
      • upper Q74.0
        ICD-10-CM Diagnosis Code Q74.0

        Other congenital malformations of upper limb(s), including shoulder girdle

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Accessory carpal bones
        • Cleidocranial dysostosis
        • Congenital pseudarthrosis of clavicle
        • Macrodactylia (fingers)
        • Madelung's deformity
        • Radioulnar synostosis
        • Sprengel's deformity
        • Triphalangeal thumb
    • lip Q38.0
      ICD-10-CM Diagnosis Code Q38.0

      Congenital malformations of lips, not elsewhere classified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital fistula of lip
      • Congenital malformation of lip NOS
      • Van der Woude's syndrome
      Type 1 Excludes
    • liver Q44.7
      ICD-10-CM Diagnosis Code Q44.7

      Other congenital malformations of liver

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory liver
      • Alagille's syndrome
      • Congenital absence of liver
      • Congenital hepatomegaly
      • Congenital malformation of liver NOS
      • duct Q44.5
        ICD-10-CM Diagnosis Code Q44.5

        Other congenital malformations of bile ducts

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Accessory hepatic duct
        • Biliary duct duplication
        • Congenital malformation of bile duct NOS
        • Cystic duct duplication
    • lower limb NEC Q74.2
      ICD-10-CM Diagnosis Code Q74.2

      Other congenital malformations of lower limb(s), including pelvic girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital fusion of sacroiliac joint
      • Congenital malformation of ankle joint
      • Congenital malformation of sacroiliac joint
      Type 1 Excludes
      • anteversion of femur (neck) (Q65.89)
    • lumbosacral (joint) (region) Q76.49
      ICD-10-CM Diagnosis Code Q76.49

      Other congenital malformations of spine, not associated with scoliosis

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of vertebra NOS
      • Congenital fusion of spine NOS
      • Congenital malformation of lumbosacral (joint) (region) NOS
      • Congenital malformation of spine NOS
      • Hemivertebra NOS
      • Malformation of spine NOS
      • Platyspondylisis NOS
      • Supernumerary vertebra NOS
    • lung Q33.9
      (fissure) (lobe)
      ICD-10-CM Diagnosis Code Q33.9

      Congenital malformation of lung, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • mandible - see Anomaly, dentofacial
    • maxilla - see Anomaly, dentofacial
    • May D72.0
      (-Hegglin)
      ICD-10-CM Diagnosis Code D72.0

      Genetic anomalies of leukocytes

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Alder (granulation) (granulocyte) anomaly
      • Alder syndrome
      • Hereditary leukocytic hypersegmentation
      • Hereditary leukocytic hyposegmentation
      • Hereditary leukomelanopathy
      • May-Hegglin (granulation) (granulocyte) anomaly
      • May-Hegglin syndrome
      • Pelger-Huët (granulation) (granulocyte) anomaly
      • Pelger-Huët syndrome
      Type 1 Excludes
      • Chédiak (-Steinbrinck)-Higashi syndrome (E70.330)
    • meatus urinarius NEC Q64.79
      ICD-10-CM Diagnosis Code Q64.79

      Other congenital malformations of bladder and urethra

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • meningeal bands or folds Q07.9
      ICD-10-CM Diagnosis Code Q07.9

      Congenital malformation of nervous system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly NOS of nervous system
      • Congenital deformity NOS of nervous system
      • Congenital disease or lesion NOS of nervous system
      • constriction of Q07.8
        ICD-10-CM Diagnosis Code Q07.8

        Other specified congenital malformations of nervous system

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Agenesis of nerve
        • Displacement of brachial plexus
        • Jaw-winking syndrome
        • Marcus Gunn's syndrome
      • spinal Q06.9
        ICD-10-CM Diagnosis Code Q06.9

        Congenital malformation of spinal cord, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital anomaly NOS of spinal cord
        • Congenital deformity NOS of spinal cord
        • Congenital disease or lesion NOS of spinal cord
    • meninges Q07.9
      ICD-10-CM Diagnosis Code Q07.9

      Congenital malformation of nervous system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly NOS of nervous system
      • Congenital deformity NOS of nervous system
      • Congenital disease or lesion NOS of nervous system
      • cerebral Q04.8
        ICD-10-CM Diagnosis Code Q04.8

        Other specified congenital malformations of brain

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Arnold-Chiari syndrome, type IV
        • Macrogyria
      • spinal Q06.9
        ICD-10-CM Diagnosis Code Q06.9

        Congenital malformation of spinal cord, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital anomaly NOS of spinal cord
        • Congenital deformity NOS of spinal cord
        • Congenital disease or lesion NOS of spinal cord
    • meningocele Q05.9
      ICD-10-CM Diagnosis Code Q05.9

      Spina bifida, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • mesentery Q45.9
      ICD-10-CM Diagnosis Code Q45.9

      Congenital malformation of digestive system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of digestive system
      • Congenital deformity of digestive system
    • metacarpus Q74.0
      ICD-10-CM Diagnosis Code Q74.0

      Other congenital malformations of upper limb(s), including shoulder girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory carpal bones
      • Cleidocranial dysostosis
      • Congenital pseudarthrosis of clavicle
      • Macrodactylia (fingers)
      • Madelung's deformity
      • Radioulnar synostosis
      • Sprengel's deformity
      • Triphalangeal thumb
    • metatarsus NEC Q74.2
      ICD-10-CM Diagnosis Code Q74.2

      Other congenital malformations of lower limb(s), including pelvic girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital fusion of sacroiliac joint
      • Congenital malformation of ankle joint
      • Congenital malformation of sacroiliac joint
      Type 1 Excludes
      • anteversion of femur (neck) (Q65.89)
    • middle ear Q16.4
      ICD-10-CM Diagnosis Code Q16.4

      Other congenital malformations of middle ear

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of middle ear NOS
      • ossicles Q16.3
        ICD-10-CM Diagnosis Code Q16.3

        Congenital malformation of ear ossicles

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital fusion of ear ossicles
    • mitral (leaflets) (valve) Q23.9
      ICD-10-CM Diagnosis Code Q23.9

      Congenital malformation of aortic and mitral valves, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • insufficiency Q23.3
        ICD-10-CM Diagnosis Code Q23.3

        Congenital mitral insufficiency

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • specified NEC Q23.8
        ICD-10-CM Diagnosis Code Q23.8

        Other congenital malformations of aortic and mitral valves

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • stenosis Q23.2
        ICD-10-CM Diagnosis Code Q23.2

        Congenital mitral stenosis

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital mitral atresia
    • mouth Q38.6
      ICD-10-CM Diagnosis Code Q38.6

      Other congenital malformations of mouth

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of mouth NOS
    • Müllerian - see also Anomaly, by site
      • uterus NEC Q51.818
        ICD-10-CM Diagnosis Code Q51.818

        Other congenital malformations of uterus

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Müllerian anomaly of uterus NEC
    • multiple NEC Q89.7
      ICD-10-CM Diagnosis Code Q89.7

      Multiple congenital malformations, not elsewhere classified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Multiple congenital anomalies NOS
      • Multiple congenital deformities NOS
      Type 1 Excludes
      • congenital malformation syndromes affecting multiple systems (Q87.-)
    • muscle Q79.9
      ICD-10-CM Diagnosis Code Q79.9

      Congenital malformation of musculoskeletal system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of musculoskeletal system NOS
      • Congenital deformity of musculoskeletal system NOS
      • eyelid Q10.3
        ICD-10-CM Diagnosis Code Q10.3

        Other congenital malformations of eyelid

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Ablepharon
        • Blepharophimosis, congenital
        • Coloboma of eyelid
        • Congenital absence or agenesis of cilia
        • Congenital absence or agenesis of eyelid
        • Congenital accessory eyelid
        • Congenital accessory eye muscle
        • Congenital malformation of eyelid NOS
    • musculoskeletal system, except limbs Q79.9
      ICD-10-CM Diagnosis Code Q79.9

      Congenital malformation of musculoskeletal system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of musculoskeletal system NOS
      • Congenital deformity of musculoskeletal system NOS
    • myocardium Q24.8
      ICD-10-CM Diagnosis Code Q24.8

      Other specified congenital malformations of heart

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital diverticulum of left ventricle
      • Congenital malformation of myocardium
      • Congenital malformation of pericardium
      • Malposition of heart
      • Uhl's disease
    • nail Q84.6
      ICD-10-CM Diagnosis Code Q84.6

      Other congenital malformations of nails

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital clubnail
      • Congenital koilonychia
      • Congenital malformation of nail NOS
    • narrowness, eyelid Q10.3
      ICD-10-CM Diagnosis Code Q10.3

      Other congenital malformations of eyelid

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Ablepharon
      • Blepharophimosis, congenital
      • Coloboma of eyelid
      • Congenital absence or agenesis of cilia
      • Congenital absence or agenesis of eyelid
      • Congenital accessory eyelid
      • Congenital accessory eye muscle
      • Congenital malformation of eyelid NOS
    • nasal sinus Q30.8
      (wall)
      ICD-10-CM Diagnosis Code Q30.8

      Other congenital malformations of nose

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory nose
      • Congenital anomaly of nasal sinus wall
    • neck Q18.9
      (any part)
      ICD-10-CM Diagnosis Code Q18.9

      Congenital malformation of face and neck, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly NOS of face and neck
    • nerve Q07.9
      ICD-10-CM Diagnosis Code Q07.9

      Congenital malformation of nervous system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly NOS of nervous system
      • Congenital deformity NOS of nervous system
      • Congenital disease or lesion NOS of nervous system
      • acoustic Q07.8
        ICD-10-CM Diagnosis Code Q07.8

        Other specified congenital malformations of nervous system

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Agenesis of nerve
        • Displacement of brachial plexus
        • Jaw-winking syndrome
        • Marcus Gunn's syndrome
      • optic Q07.8
        ICD-10-CM Diagnosis Code Q07.8

        Other specified congenital malformations of nervous system

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Agenesis of nerve
        • Displacement of brachial plexus
        • Jaw-winking syndrome
        • Marcus Gunn's syndrome
    • nervous system Q07.9
      (central)
      ICD-10-CM Diagnosis Code Q07.9

      Congenital malformation of nervous system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly NOS of nervous system
      • Congenital deformity NOS of nervous system
      • Congenital disease or lesion NOS of nervous system
    • nipple Q83.9
      ICD-10-CM Diagnosis Code Q83.9

      Congenital malformation of breast, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • nose, nasal (bones) (cartilage) (septum) (sinus) Q30.9
      ICD-10-CM Diagnosis Code Q30.9

      Congenital malformation of nose, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • specified NEC Q30.8
        ICD-10-CM Diagnosis Code Q30.8

        Other congenital malformations of nose

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Accessory nose
        • Congenital anomaly of nasal sinus wall
    • ocular muscle Q15.8
      ICD-10-CM Diagnosis Code Q15.8

      Other specified congenital malformations of eye

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • omphalomesenteric duct Q43.0
      ICD-10-CM Diagnosis Code Q43.0

      Meckel's diverticulum (displaced) (hypertrophic)

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Persistent omphalomesenteric duct
      • Persistent vitelline duct
    • opening, pulmonary veins Q26.4
      ICD-10-CM Diagnosis Code Q26.4

      Anomalous pulmonary venous connection, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • optic
      • disc Q14.2
        ICD-10-CM Diagnosis Code Q14.2

        Congenital malformation of optic disc

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Coloboma of optic disc
      • nerve Q07.8
        ICD-10-CM Diagnosis Code Q07.8

        Other specified congenital malformations of nervous system

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Agenesis of nerve
        • Displacement of brachial plexus
        • Jaw-winking syndrome
        • Marcus Gunn's syndrome
    • opticociliary vessels Q13.2
      ICD-10-CM Diagnosis Code Q13.2

      Other congenital malformations of iris

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Anisocoria, congenital
      • Atresia of pupil
      • Congenital malformation of iris NOS
      • Corectopia
    • orbit Q10.7
      (eye)
      ICD-10-CM Diagnosis Code Q10.7

      Congenital malformation of orbit

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • organ Q89.9
      ICD-10-CM Diagnosis Code Q89.9

      Congenital malformation, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly NOS
      • Congenital deformity NOS
      • of Corti Q16.5
        ICD-10-CM Diagnosis Code Q16.5

        Congenital malformation of inner ear

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital anomaly of membranous labyrinth
        • Congenital anomaly of organ of Corti
    • origin
      • artery
        • innominate Q25.8
          ICD-10-CM Diagnosis Code Q25.8

          Other congenital malformations of other great arteries

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        • pulmonary Q25.79
          ICD-10-CM Diagnosis Code Q25.79

          Other congenital malformations of pulmonary artery

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Aberrant pulmonary artery
          • Agenesis of pulmonary artery
          • Congenital aneurysm of pulmonary artery
          • Congenital anomaly of pulmonary artery
          • Hypoplasia of pulmonary artery
        • renal Q27.2
          ICD-10-CM Diagnosis Code Q27.2

          Other congenital malformations of renal artery

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Congenital malformation of renal artery NOS
          • Multiple renal arteries
        • subclavian Q25.48
          ICD-10-CM Diagnosis Code Q25.48

          Anomalous origin of subclavian artery

            2017 - New Code 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • osseous meatus Q16.1
      (ear)
      ICD-10-CM Diagnosis Code Q16.1

      Congenital absence, atresia and stricture of auditory canal (external)

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital atresia or stricture of osseous meatus
    • ovary Q50.39
      ICD-10-CM Diagnosis Code Q50.39

      Other congenital malformation of ovary

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of ovary NOS
    • oviduct Q50.6
      ICD-10-CM Diagnosis Code Q50.6

      Other congenital malformations of fallopian tube and broad ligament

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Absence of fallopian tube and broad ligament
      • Accessory fallopian tube and broad ligament
      • Atresia of fallopian tube and broad ligament
      • Congenital malformation of fallopian tube or broad ligament NOS
    • palate Q38.5
      (hard) (soft)
      ICD-10-CM Diagnosis Code Q38.5

      Congenital malformations of palate, not elsewhere classified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of uvula
      • Congenital malformation of palate NOS
      • Congenital high arched palate
      Type 1 Excludes
      • cleft palate (Q35.-)
      • cleft palate with cleft lip (Q37.-)
    • pancreas or pancreatic duct Q45.3
      ICD-10-CM Diagnosis Code Q45.3

      Other congenital malformations of pancreas and pancreatic duct

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory pancreas
      • Congenital malformation of pancreas or pancreatic duct NOS
      Type 1 Excludes
      • congenital diabetes mellitus (E10.-)
      • cystic fibrosis (E84.0-E84.9)
      • fibrocystic disease of pancreas (E84.-)
      • neonatal diabetes mellitus (P70.2)
    • papillary muscles Q24.8
      ICD-10-CM Diagnosis Code Q24.8

      Other specified congenital malformations of heart

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital diverticulum of left ventricle
      • Congenital malformation of myocardium
      • Congenital malformation of pericardium
      • Malposition of heart
      • Uhl's disease
    • parathyroid gland Q89.2
      ICD-10-CM Diagnosis Code Q89.2

      Congenital malformations of other endocrine glands

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of parathyroid or thyroid gland
      • Persistent thyroglossal duct
      • Thyroglossal cyst
      Type 1 Excludes
      • congenital goiter (E03.0)
      • congenital hypothyroidism (E03.1)
    • paraurethral ducts Q64.79
      ICD-10-CM Diagnosis Code Q64.79

      Other congenital malformations of bladder and urethra

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • parotid Q38.4
      (gland)
      ICD-10-CM Diagnosis Code Q38.4

      Congenital malformations of salivary glands and ducts

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Atresia of salivary glands and ducts
      • Congenital absence of salivary glands and ducts
      • Congenital accessory salivary glands and ducts
      • Congenital fistula of salivary gland
    • patella Q74.1
      ICD-10-CM Diagnosis Code Q74.1

      Congenital malformation of knee

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of patella
      • Congenital dislocation of patella
      • Congenital genu valgum
      • Congenital genu varum
      • Rudimentary patella
      Type 1 Excludes
      • congenital dislocation of knee (Q68.2)
      • congenital genu recurvatum (Q68.2)
      • nail patella syndrome (Q87.2)
    • Pelger-Huët D72.0
      (hereditary hyposegmentation)
      ICD-10-CM Diagnosis Code D72.0

      Genetic anomalies of leukocytes

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Alder (granulation) (granulocyte) anomaly
      • Alder syndrome
      • Hereditary leukocytic hypersegmentation
      • Hereditary leukocytic hyposegmentation
      • Hereditary leukomelanopathy
      • May-Hegglin (granulation) (granulocyte) anomaly
      • May-Hegglin syndrome
      • Pelger-Huët (granulation) (granulocyte) anomaly
      • Pelger-Huët syndrome
      Type 1 Excludes
      • Chédiak (-Steinbrinck)-Higashi syndrome (E70.330)
    • pelvic girdle NEC Q74.2
      ICD-10-CM Diagnosis Code Q74.2

      Other congenital malformations of lower limb(s), including pelvic girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital fusion of sacroiliac joint
      • Congenital malformation of ankle joint
      • Congenital malformation of sacroiliac joint
      Type 1 Excludes
      • anteversion of femur (neck) (Q65.89)
    • pelvis (bony) Q74.2
      ICD-10-CM Diagnosis Code Q74.2

      Other congenital malformations of lower limb(s), including pelvic girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital fusion of sacroiliac joint
      • Congenital malformation of ankle joint
      • Congenital malformation of sacroiliac joint
      Type 1 Excludes
      • anteversion of femur (neck) (Q65.89)
      • rachitic E64.3
        ICD-10-CM Diagnosis Code E64.3

        Sequelae of rickets

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • penis Q55.69
      (glans)
      ICD-10-CM Diagnosis Code Q55.69

      Other congenital malformation of penis

        2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx POA Exempt
      Applicable To
      • Congenital malformation of penis NOS
    • pericardium Q24.8
      ICD-10-CM Diagnosis Code Q24.8

      Other specified congenital malformations of heart

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital diverticulum of left ventricle
      • Congenital malformation of myocardium
      • Congenital malformation of pericardium
      • Malposition of heart
      • Uhl's disease
    • peripheral vascular system Q27.9
      ICD-10-CM Diagnosis Code Q27.9

      Congenital malformation of peripheral vascular system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Anomaly of artery or vein NOS
    • Peter's Q13.4
      ICD-10-CM Diagnosis Code Q13.4

      Other congenital corneal malformations

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of cornea NOS
      • Microcornea
      • Peter's anomaly
    • pharynx Q38.8
      ICD-10-CM Diagnosis Code Q38.8

      Other congenital malformations of pharynx

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of pharynx NOS
      • Imperforate pharynx
    • pigmentation L81.9
      ICD-10-CM Diagnosis Code L81.9

      Disorder of pigmentation, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      • congenital Q82.8
        ICD-10-CM Diagnosis Code Q82.8

        Other specified congenital malformations of skin

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Abnormal palmar creases
        • Accessory skin tags
        • Benign familial pemphigus [Hailey-Hailey]
        • Congenital poikiloderma
        • Cutis laxa (hyperelastica)
        • Dermatoglyphic anomalies
        • Inherited keratosis palmaris et plantaris
        • Keratosis follicularis [Darier-White]
        Type 1 Excludes
        • Ehlers-Danlos syndromes (Q79.6-)
    • pituitary Q89.2
      (gland)
      ICD-10-CM Diagnosis Code Q89.2

      Congenital malformations of other endocrine glands

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of parathyroid or thyroid gland
      • Persistent thyroglossal duct
      • Thyroglossal cyst
      Type 1 Excludes
      • congenital goiter (E03.0)
      • congenital hypothyroidism (E03.1)
    • pleural Q34.0
      (folds)
      ICD-10-CM Diagnosis Code Q34.0

      Anomaly of pleura

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • portal vein Q26.5
      ICD-10-CM Diagnosis Code Q26.5

      Anomalous portal venous connection

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • connection Q26.5
        ICD-10-CM Diagnosis Code Q26.5

        Anomalous portal venous connection

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • position, tooth, teeth, fully erupted M26.30
      ICD-10-CM Diagnosis Code M26.30

      Unspecified anomaly of tooth position of fully erupted tooth or teeth

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Abnormal spacing of fully erupted tooth or teeth NOS
      • Displacement of fully erupted tooth or teeth NOS
      • Transposition of fully erupted tooth or teeth NOS
      • specified NEC M26.39
        ICD-10-CM Diagnosis Code M26.39

        Other anomalies of tooth position of fully erupted tooth or teeth

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
    • precerebral vessel Q28.1
      ICD-10-CM Diagnosis Code Q28.1

      Other malformations of precerebral vessels

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of precerebral vessels NOS
      • Congenital precerebral aneurysm (nonruptured)
    • prepuce Q55.69
      ICD-10-CM Diagnosis Code Q55.69

      Other congenital malformation of penis

        2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx POA Exempt
      Applicable To
      • Congenital malformation of penis NOS
    • prostate Q55.4
      ICD-10-CM Diagnosis Code Q55.4

      Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate

        2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx POA Exempt
      Applicable To
      • Absence or aplasia of prostate
      • Absence or aplasia of spermatic cord
      • Congenital malformation of vas deferens, epididymis, seminal vesicles or prostate NOS
    • pulmonary Q33.9
      ICD-10-CM Diagnosis Code Q33.9

      Congenital malformation of lung, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • artery NEC Q25.79
        ICD-10-CM Diagnosis Code Q25.79

        Other congenital malformations of pulmonary artery

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Aberrant pulmonary artery
        • Agenesis of pulmonary artery
        • Congenital aneurysm of pulmonary artery
        • Congenital anomaly of pulmonary artery
        • Hypoplasia of pulmonary artery
      • valve Q22.3
        ICD-10-CM Diagnosis Code Q22.3

        Other congenital malformations of pulmonary valve

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital malformation of pulmonary valve NOS
        • Supernumerary cusps of pulmonary valve
        • atresia Q22.0
          ICD-10-CM Diagnosis Code Q22.0

          Pulmonary valve atresia

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        • insufficiency Q22.2
          ICD-10-CM Diagnosis Code Q22.2

          Congenital pulmonary valve insufficiency

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Congenital pulmonary valve regurgitation
        • specified type NEC Q22.3
          ICD-10-CM Diagnosis Code Q22.3

          Other congenital malformations of pulmonary valve

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Congenital malformation of pulmonary valve NOS
          • Supernumerary cusps of pulmonary valve
        • stenosis Q22.1
          ICD-10-CM Diagnosis Code Q22.1

          Congenital pulmonary valve stenosis

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          • infundibular Q24.3
            ICD-10-CM Diagnosis Code Q24.3

            Pulmonary infundibular stenosis

              2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
            Applicable To
            • Subvalvular pulmonic stenosis
          • subvalvular Q24.3
            ICD-10-CM Diagnosis Code Q24.3

            Pulmonary infundibular stenosis

              2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
            Applicable To
            • Subvalvular pulmonic stenosis
      • venous connection Q26.4
        ICD-10-CM Diagnosis Code Q26.4

        Anomalous pulmonary venous connection, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        • partial Q26.3
          ICD-10-CM Diagnosis Code Q26.3

          Partial anomalous pulmonary venous connection

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Partial anomalous pulmonary venous return
        • total Q26.2
          ICD-10-CM Diagnosis Code Q26.2

          Total anomalous pulmonary venous connection

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Total anomalous pulmonary venous return [TAPVR], subdiaphragmatic
          • Total anomalous pulmonary venous return [TAPVR], supradiaphragmatic
    • pupil Q13.2
      ICD-10-CM Diagnosis Code Q13.2

      Other congenital malformations of iris

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Anisocoria, congenital
      • Atresia of pupil
      • Congenital malformation of iris NOS
      • Corectopia
      • function H57.00
        ICD-10-CM Diagnosis Code H57.00

        Unspecified anomaly of pupillary function

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        • anisocoria H57.02
          ICD-10-CM Diagnosis Code H57.02

          Anisocoria

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
        • Argyll Robertson pupil H57.01
          ICD-10-CM Diagnosis Code H57.01

          Argyll Robertson pupil, atypical

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
          Type 1 Excludes
          • syphilitic Argyll Robertson pupil (A52.19)
        • miosis H57.03
          ICD-10-CM Diagnosis Code H57.03

          Miosis

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
        • mydriasis H57.04
          ICD-10-CM Diagnosis Code H57.04

          Mydriasis

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
        • specified type NEC H57.09
          ICD-10-CM Diagnosis Code H57.09

          Other anomalies of pupillary function

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
        • tonic pupil H57.05-
          ICD-10-CM Diagnosis Code H57.05-

          Tonic pupil

            2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    • pylorus Q40.3
      ICD-10-CM Diagnosis Code Q40.3

      Congenital malformation of stomach, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • radius Q74.0
      ICD-10-CM Diagnosis Code Q74.0

      Other congenital malformations of upper limb(s), including shoulder girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory carpal bones
      • Cleidocranial dysostosis
      • Congenital pseudarthrosis of clavicle
      • Macrodactylia (fingers)
      • Madelung's deformity
      • Radioulnar synostosis
      • Sprengel's deformity
      • Triphalangeal thumb
    • rectum Q43.9
      ICD-10-CM Diagnosis Code Q43.9

      Congenital malformation of intestine, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • reduction (extremity) (limb)
    • refraction - see Disorder, refraction
    • renal Q63.9
      ICD-10-CM Diagnosis Code Q63.9

      Congenital malformation of kidney, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • artery Q27.2
        ICD-10-CM Diagnosis Code Q27.2

        Other congenital malformations of renal artery

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital malformation of renal artery NOS
        • Multiple renal arteries
      • pelvis Q63.9
        ICD-10-CM Diagnosis Code Q63.9

        Congenital malformation of kidney, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        • specified NEC Q63.8
          ICD-10-CM Diagnosis Code Q63.8

          Other specified congenital malformations of kidney

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Congenital renal calculi
    • respiratory system Q34.9
      ICD-10-CM Diagnosis Code Q34.9

      Congenital malformation of respiratory system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of respiratory system
      • Congenital anomaly of respiratory system NOS
      • specified NEC Q34.8
        ICD-10-CM Diagnosis Code Q34.8

        Other specified congenital malformations of respiratory system

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Atresia of nasopharynx
    • retina Q14.1
      ICD-10-CM Diagnosis Code Q14.1

      Congenital malformation of retina

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital retinal aneurysm
    • rib Q76.6
      ICD-10-CM Diagnosis Code Q76.6

      Other congenital malformations of ribs

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory rib
      • Congenital absence of rib
      • Congenital fusion of ribs
      • Congenital malformation of ribs NOS
      Type 1 Excludes
      • short rib syndrome (Q77.2)
      • cervical Q76.5
        ICD-10-CM Diagnosis Code Q76.5

        Cervical rib

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Supernumerary rib in cervical region
    • Rieger's Q13.81
      ICD-10-CM Diagnosis Code Q13.81

      Rieger's anomaly

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Use Additional
      • code for associated glaucoma (H42)
    • rotation - see Malrotation
      • hip or thigh Q65.89
        ICD-10-CM Diagnosis Code Q65.89

        Other specified congenital deformities of hip

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Anteversion of femoral neck
        • Congenital acetabular dysplasia
    • round ligament Q52.8
      ICD-10-CM Diagnosis Code Q52.8

      Other specified congenital malformations of female genitalia

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • sacroiliac Q74.2
      (joint)
      ICD-10-CM Diagnosis Code Q74.2

      Other congenital malformations of lower limb(s), including pelvic girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital fusion of sacroiliac joint
      • Congenital malformation of ankle joint
      • Congenital malformation of sacroiliac joint
      Type 1 Excludes
      • anteversion of femur (neck) (Q65.89)
    • sacrum NEC Q76.49
      ICD-10-CM Diagnosis Code Q76.49

      Other congenital malformations of spine, not associated with scoliosis

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of vertebra NOS
      • Congenital fusion of spine NOS
      • Congenital malformation of lumbosacral (joint) (region) NOS
      • Congenital malformation of spine NOS
      • Hemivertebra NOS
      • Malformation of spine NOS
      • Platyspondylisis NOS
      • Supernumerary vertebra NOS
    • saddle nose, syphilitic A50.57
      ICD-10-CM Diagnosis Code A50.57

      Syphilitic saddle nose

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
    • salivary duct or gland Q38.4
      ICD-10-CM Diagnosis Code Q38.4

      Congenital malformations of salivary glands and ducts

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Atresia of salivary glands and ducts
      • Congenital absence of salivary glands and ducts
      • Congenital accessory salivary glands and ducts
      • Congenital fistula of salivary gland
    • scapula Q74.0
      ICD-10-CM Diagnosis Code Q74.0

      Other congenital malformations of upper limb(s), including shoulder girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory carpal bones
      • Cleidocranial dysostosis
      • Congenital pseudarthrosis of clavicle
      • Macrodactylia (fingers)
      • Madelung's deformity
      • Radioulnar synostosis
      • Sprengel's deformity
      • Triphalangeal thumb
    • scrotum - see Malformation, testis and scrotum
    • sebaceous gland Q82.9
      ICD-10-CM Diagnosis Code Q82.9

      Congenital malformation of skin, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • seminal vesicles Q55.4
      ICD-10-CM Diagnosis Code Q55.4

      Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate

        2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx POA Exempt
      Applicable To
      • Absence or aplasia of prostate
      • Absence or aplasia of spermatic cord
      • Congenital malformation of vas deferens, epididymis, seminal vesicles or prostate NOS
    • sense organs NEC Q07.8
      ICD-10-CM Diagnosis Code Q07.8

      Other specified congenital malformations of nervous system

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Agenesis of nerve
      • Displacement of brachial plexus
      • Jaw-winking syndrome
      • Marcus Gunn's syndrome
    • sex chromosomes NEC - see also Anomaly, chromosomes
      • female phenotype Q97.8
        ICD-10-CM Diagnosis Code Q97.8

        Other specified sex chromosome abnormalities, female phenotype

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • male phenotype Q98.9
        ICD-10-CM Diagnosis Code Q98.9

        Sex chromosome abnormality, male phenotype, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx POA Exempt
    • shoulder Q74.0
      (girdle) (joint)
      ICD-10-CM Diagnosis Code Q74.0

      Other congenital malformations of upper limb(s), including shoulder girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory carpal bones
      • Cleidocranial dysostosis
      • Congenital pseudarthrosis of clavicle
      • Macrodactylia (fingers)
      • Madelung's deformity
      • Radioulnar synostosis
      • Sprengel's deformity
      • Triphalangeal thumb
    • sigmoid Q43.9
      (flexure)
      ICD-10-CM Diagnosis Code Q43.9

      Congenital malformation of intestine, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • simian crease Q82.8
      ICD-10-CM Diagnosis Code Q82.8

      Other specified congenital malformations of skin

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Abnormal palmar creases
      • Accessory skin tags
      • Benign familial pemphigus [Hailey-Hailey]
      • Congenital poikiloderma
      • Cutis laxa (hyperelastica)
      • Dermatoglyphic anomalies
      • Inherited keratosis palmaris et plantaris
      • Keratosis follicularis [Darier-White]
      Type 1 Excludes
      • Ehlers-Danlos syndromes (Q79.6-)
    • sinus of Valsalva Q25.49
      ICD-10-CM Diagnosis Code Q25.49

      Other congenital malformations of aorta

        2017 - New Code 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Aortic arch
      • Bovine arch
    • skeleton generalized Q78.9
      ICD-10-CM Diagnosis Code Q78.9

      Osteochondrodysplasia, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Chondrodystrophy NOS
      • Osteodystrophy NOS
    • skin Q82.9
      (appendage)
      ICD-10-CM Diagnosis Code Q82.9

      Congenital malformation of skin, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • skull Q75.9
      ICD-10-CM Diagnosis Code Q75.9

      Congenital malformation of skull and face bones, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of face bones NOS
      • Congenital anomaly of skull NOS
      • with
        • anencephaly Q00.0
          ICD-10-CM Diagnosis Code Q00.0

          Anencephaly

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Acephaly
          • Acrania
          • Amyelencephaly
          • Hemianencephaly
          • Hemicephaly
        • encephalocele - see Encephalocele
        • hydrocephalus Q03.9
          ICD-10-CM Diagnosis Code Q03.9

          Congenital hydrocephalus, unspecified

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        • microcephaly Q02
          ICD-10-CM Diagnosis Code Q02

          Microcephaly

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Code First
          • , if applicable, congenital Zika virus disease
          Includes
          • hydromicrocephaly
          • micrencephalon
          Type 1 Excludes
          • Meckel-Gruber syndrome (Q61.9)
    • specified organ or site NEC Q89.8
      ICD-10-CM Diagnosis Code Q89.8

      Other specified congenital malformations

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Use Additional
      • code(s) to identify all associated manifestations
    • spermatic cord Q55.4
      ICD-10-CM Diagnosis Code Q55.4

      Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate

        2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx POA Exempt
      Applicable To
      • Absence or aplasia of prostate
      • Absence or aplasia of spermatic cord
      • Congenital malformation of vas deferens, epididymis, seminal vesicles or prostate NOS
    • spine, spinal NEC Q76.49
      ICD-10-CM Diagnosis Code Q76.49

      Other congenital malformations of spine, not associated with scoliosis

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of vertebra NOS
      • Congenital fusion of spine NOS
      • Congenital malformation of lumbosacral (joint) (region) NOS
      • Congenital malformation of spine NOS
      • Hemivertebra NOS
      • Malformation of spine NOS
      • Platyspondylisis NOS
      • Supernumerary vertebra NOS
      • column NEC Q76.49
        ICD-10-CM Diagnosis Code Q76.49

        Other congenital malformations of spine, not associated with scoliosis

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital absence of vertebra NOS
        • Congenital fusion of spine NOS
        • Congenital malformation of lumbosacral (joint) (region) NOS
        • Congenital malformation of spine NOS
        • Hemivertebra NOS
        • Malformation of spine NOS
        • Platyspondylisis NOS
        • Supernumerary vertebra NOS
      • cord Q06.9
        ICD-10-CM Diagnosis Code Q06.9

        Congenital malformation of spinal cord, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital anomaly NOS of spinal cord
        • Congenital deformity NOS of spinal cord
        • Congenital disease or lesion NOS of spinal cord
      • nerve root Q07.8
        ICD-10-CM Diagnosis Code Q07.8

        Other specified congenital malformations of nervous system

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Agenesis of nerve
        • Displacement of brachial plexus
        • Jaw-winking syndrome
        • Marcus Gunn's syndrome
    • spleen Q89.09
      ICD-10-CM Diagnosis Code Q89.09

      Congenital malformations of spleen

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital splenomegaly
      • agenesis Q89.01
        ICD-10-CM Diagnosis Code Q89.01

        Asplenia (congenital)

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • stenonian duct Q38.4
      ICD-10-CM Diagnosis Code Q38.4

      Congenital malformations of salivary glands and ducts

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Atresia of salivary glands and ducts
      • Congenital absence of salivary glands and ducts
      • Congenital accessory salivary glands and ducts
      • Congenital fistula of salivary gland
    • sternum NEC Q76.7
      ICD-10-CM Diagnosis Code Q76.7

      Congenital malformation of sternum

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of sternum
      • Sternum bifidum
    • stomach Q40.3
      ICD-10-CM Diagnosis Code Q40.3

      Congenital malformation of stomach, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • submaxillary gland Q38.4
      ICD-10-CM Diagnosis Code Q38.4

      Congenital malformations of salivary glands and ducts

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Atresia of salivary glands and ducts
      • Congenital absence of salivary glands and ducts
      • Congenital accessory salivary glands and ducts
      • Congenital fistula of salivary gland
    • tarsus NEC Q74.2
      ICD-10-CM Diagnosis Code Q74.2

      Other congenital malformations of lower limb(s), including pelvic girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital fusion of sacroiliac joint
      • Congenital malformation of ankle joint
      • Congenital malformation of sacroiliac joint
      Type 1 Excludes
      • anteversion of femur (neck) (Q65.89)
    • tendon Q79.9
      ICD-10-CM Diagnosis Code Q79.9

      Congenital malformation of musculoskeletal system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of musculoskeletal system NOS
      • Congenital deformity of musculoskeletal system NOS
    • testis - see Malformation, testis and scrotum
    • thigh NEC Q74.2
      ICD-10-CM Diagnosis Code Q74.2

      Other congenital malformations of lower limb(s), including pelvic girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital fusion of sacroiliac joint
      • Congenital malformation of ankle joint
      • Congenital malformation of sacroiliac joint
      Type 1 Excludes
      • anteversion of femur (neck) (Q65.89)
    • thorax (wall) Q67.8
      ICD-10-CM Diagnosis Code Q67.8

      Other congenital deformities of chest

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital deformity of chest wall NOS
      • bony Q76.9
        ICD-10-CM Diagnosis Code Q76.9

        Congenital malformation of bony thorax, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • throat Q38.8
      ICD-10-CM Diagnosis Code Q38.8

      Other congenital malformations of pharynx

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of pharynx NOS
      • Imperforate pharynx
    • thumb Q74.0
      ICD-10-CM Diagnosis Code Q74.0

      Other congenital malformations of upper limb(s), including shoulder girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory carpal bones
      • Cleidocranial dysostosis
      • Congenital pseudarthrosis of clavicle
      • Macrodactylia (fingers)
      • Madelung's deformity
      • Radioulnar synostosis
      • Sprengel's deformity
      • Triphalangeal thumb
    • thymus gland Q89.2
      ICD-10-CM Diagnosis Code Q89.2

      Congenital malformations of other endocrine glands

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of parathyroid or thyroid gland
      • Persistent thyroglossal duct
      • Thyroglossal cyst
      Type 1 Excludes
      • congenital goiter (E03.0)
      • congenital hypothyroidism (E03.1)
    • thyroid (gland) Q89.2
      ICD-10-CM Diagnosis Code Q89.2

      Congenital malformations of other endocrine glands

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of parathyroid or thyroid gland
      • Persistent thyroglossal duct
      • Thyroglossal cyst
      Type 1 Excludes
      • congenital goiter (E03.0)
      • congenital hypothyroidism (E03.1)
      • cartilage Q31.8
        ICD-10-CM Diagnosis Code Q31.8

        Other congenital malformations of larynx

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Absence of larynx
        • Agenesis of larynx
        • Atresia of larynx
        • Congenital cleft thyroid cartilage
        • Congenital fissure of epiglottis
        • Congenital stenosis of larynx NEC
        • Posterior cleft of cricoid cartilage
    • tibia NEC Q74.2
      ICD-10-CM Diagnosis Code Q74.2

      Other congenital malformations of lower limb(s), including pelvic girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital fusion of sacroiliac joint
      • Congenital malformation of ankle joint
      • Congenital malformation of sacroiliac joint
      Type 1 Excludes
      • anteversion of femur (neck) (Q65.89)
      • saber A50.56
        ICD-10-CM Diagnosis Code A50.56

        Late congenital syphilitic osteochondropathy

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
    • toe Q74.2
      ICD-10-CM Diagnosis Code Q74.2

      Other congenital malformations of lower limb(s), including pelvic girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital fusion of sacroiliac joint
      • Congenital malformation of ankle joint
      • Congenital malformation of sacroiliac joint
      Type 1 Excludes
      • anteversion of femur (neck) (Q65.89)
    • tongue Q38.3
      ICD-10-CM Diagnosis Code Q38.3

      Other congenital malformations of tongue

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Aglossia
      • Bifid tongue
      • Congenital adhesion of tongue
      • Congenital fissure of tongue
      • Congenital malformation of tongue NOS
      • Double tongue
      • Hypoglossia
      • Hypoplasia of tongue
      • Microglossia
    • tooth, teeth K00.9
      ICD-10-CM Diagnosis Code K00.9

      Disorder of tooth development, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Disorder of odontogenesis NOS
      • eruption K00.6
        ICD-10-CM Diagnosis Code K00.6

        Disturbances in tooth eruption

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        Applicable To
        • Dentia praecox
        • Natal tooth
        • Neonatal tooth
        • Premature eruption of tooth
        • Premature shedding of primary [deciduous] tooth
        • Prenatal teeth
        • Retained [persistent] primary tooth
        Type 2 Excludes
        • embedded and impacted teeth (K01.-)
      • position, fully erupted M26.30
        ICD-10-CM Diagnosis Code M26.30

        Unspecified anomaly of tooth position of fully erupted tooth or teeth

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        Applicable To
        • Abnormal spacing of fully erupted tooth or teeth NOS
        • Displacement of fully erupted tooth or teeth NOS
        • Transposition of fully erupted tooth or teeth NOS
      • spacing, fully erupted M26.30
        ICD-10-CM Diagnosis Code M26.30

        Unspecified anomaly of tooth position of fully erupted tooth or teeth

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        Applicable To
        • Abnormal spacing of fully erupted tooth or teeth NOS
        • Displacement of fully erupted tooth or teeth NOS
        • Transposition of fully erupted tooth or teeth NOS
    • trachea Q32.1
      (cartilage)
      ICD-10-CM Diagnosis Code Q32.1

      Other congenital malformations of trachea

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Atresia of trachea
      • Congenital anomaly of tracheal cartilage
      • Congenital dilatation of trachea
      • Congenital malformation of trachea
      • Congenital stenosis of trachea
      • Congenital tracheocele
    • tragus Q17.9
      ICD-10-CM Diagnosis Code Q17.9

      Congenital malformation of ear, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of ear NOS
    • tricuspid (leaflet) (valve) Q22.9
      ICD-10-CM Diagnosis Code Q22.9

      Congenital malformation of tricuspid valve, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • atresia or stenosis Q22.4
        ICD-10-CM Diagnosis Code Q22.4

        Congenital tricuspid stenosis

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital tricuspid atresia
      • Ebstein's Q22.5
        ICD-10-CM Diagnosis Code Q22.5

        Ebstein's anomaly

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • Uhl's Q24.8
      (hypoplasia of myocardium, right ventricle)
      ICD-10-CM Diagnosis Code Q24.8

      Other specified congenital malformations of heart

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital diverticulum of left ventricle
      • Congenital malformation of myocardium
      • Congenital malformation of pericardium
      • Malposition of heart
      • Uhl's disease
    • ulna Q74.0
      ICD-10-CM Diagnosis Code Q74.0

      Other congenital malformations of upper limb(s), including shoulder girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory carpal bones
      • Cleidocranial dysostosis
      • Congenital pseudarthrosis of clavicle
      • Macrodactylia (fingers)
      • Madelung's deformity
      • Radioulnar synostosis
      • Sprengel's deformity
      • Triphalangeal thumb
    • umbilical artery Q27.0
      ICD-10-CM Diagnosis Code Q27.0

      Congenital absence and hypoplasia of umbilical artery

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Single umbilical artery
    • union
      • cricoid cartilage and thyroid cartilage Q31.8
        ICD-10-CM Diagnosis Code Q31.8

        Other congenital malformations of larynx

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Absence of larynx
        • Agenesis of larynx
        • Atresia of larynx
        • Congenital cleft thyroid cartilage
        • Congenital fissure of epiglottis
        • Congenital stenosis of larynx NEC
        • Posterior cleft of cricoid cartilage
      • thyroid cartilage and hyoid bone Q31.8
        ICD-10-CM Diagnosis Code Q31.8

        Other congenital malformations of larynx

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Absence of larynx
        • Agenesis of larynx
        • Atresia of larynx
        • Congenital cleft thyroid cartilage
        • Congenital fissure of epiglottis
        • Congenital stenosis of larynx NEC
        • Posterior cleft of cricoid cartilage
      • trachea with larynx Q31.8
        ICD-10-CM Diagnosis Code Q31.8

        Other congenital malformations of larynx

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Absence of larynx
        • Agenesis of larynx
        • Atresia of larynx
        • Congenital cleft thyroid cartilage
        • Congenital fissure of epiglottis
        • Congenital stenosis of larynx NEC
        • Posterior cleft of cricoid cartilage
    • upper limb Q74.0
      ICD-10-CM Diagnosis Code Q74.0

      Other congenital malformations of upper limb(s), including shoulder girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory carpal bones
      • Cleidocranial dysostosis
      • Congenital pseudarthrosis of clavicle
      • Macrodactylia (fingers)
      • Madelung's deformity
      • Radioulnar synostosis
      • Sprengel's deformity
      • Triphalangeal thumb
    • urachus Q64.4
      ICD-10-CM Diagnosis Code Q64.4

      Malformation of urachus

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Cyst of urachus
      • Patent urachus
      • Prolapse of urachus
    • ureter Q62.8
      ICD-10-CM Diagnosis Code Q62.8

      Other congenital malformations of ureter

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Anomaly of ureter NOS
      • obstructive NEC Q62.39
        ICD-10-CM Diagnosis Code Q62.39

        Other obstructive defects of renal pelvis and ureter

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Ureteropelvic junction obstruction NOS
        • cecoureterocele Q62.32
          ICD-10-CM Diagnosis Code Q62.32

          Cecoureterocele

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Ectopic ureterocele
        • orthotopic ureterocele Q62.31
          ICD-10-CM Diagnosis Code Q62.31

          Congenital ureterocele, orthotopic

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • urethra Q64.70
      ICD-10-CM Diagnosis Code Q64.70

      Unspecified congenital malformation of bladder and urethra

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Malformation of bladder or urethra NOS
      • absence Q64.5
        ICD-10-CM Diagnosis Code Q64.5

        Congenital absence of bladder and urethra

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • double Q64.74
        ICD-10-CM Diagnosis Code Q64.74

        Double urethra

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • fistula to rectum Q64.73
        ICD-10-CM Diagnosis Code Q64.73

        Congenital urethrorectal fistula

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • obstructive Q64.39
        ICD-10-CM Diagnosis Code Q64.39

        Other atresia and stenosis of urethra and bladder neck

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Atresia and stenosis of urethra and bladder neck NOS
        • stricture Q64.32
          ICD-10-CM Diagnosis Code Q64.32

          Congenital stricture of urethra

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • prolapse Q64.71
        ICD-10-CM Diagnosis Code Q64.71

        Congenital prolapse of urethra

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • specified type NEC Q64.79
        ICD-10-CM Diagnosis Code Q64.79

        Other congenital malformations of bladder and urethra

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • urinary tract Q64.9
      ICD-10-CM Diagnosis Code Q64.9

      Congenital malformation of urinary system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly NOS of urinary system
      • Congenital deformity NOS of urinary system
    • uterus Q51.9
      ICD-10-CM Diagnosis Code Q51.9

      Congenital malformation of uterus and cervix, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      • with only one functioning horn Q51.4
        ICD-10-CM Diagnosis Code Q51.4

        Unicornate uterus

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Unicornate uterus with or without a separate uterine horn
        • Uterus with only one functioning horn
    • uvula Q38.5
      ICD-10-CM Diagnosis Code Q38.5

      Congenital malformations of palate, not elsewhere classified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of uvula
      • Congenital malformation of palate NOS
      • Congenital high arched palate
      Type 1 Excludes
      • cleft palate (Q35.-)
      • cleft palate with cleft lip (Q37.-)
    • vagina Q52.4
      ICD-10-CM Diagnosis Code Q52.4

      Other congenital malformations of vagina

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Canal of Nuck cyst, congenital
      • Congenital malformation of vagina NOS
      • Embryonic vaginal cyst
      • Gartner's duct cyst
    • valleculae Q31.8
      ICD-10-CM Diagnosis Code Q31.8

      Other congenital malformations of larynx

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Absence of larynx
      • Agenesis of larynx
      • Atresia of larynx
      • Congenital cleft thyroid cartilage
      • Congenital fissure of epiglottis
      • Congenital stenosis of larynx NEC
      • Posterior cleft of cricoid cartilage
    • valve (heart) Q24.8
      ICD-10-CM Diagnosis Code Q24.8

      Other specified congenital malformations of heart

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital diverticulum of left ventricle
      • Congenital malformation of myocardium
      • Congenital malformation of pericardium
      • Malposition of heart
      • Uhl's disease
      • coronary sinus Q24.5
        ICD-10-CM Diagnosis Code Q24.5

        Malformation of coronary vessels

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital coronary (artery) aneurysm
      • inferior vena cava Q24.8
        ICD-10-CM Diagnosis Code Q24.8

        Other specified congenital malformations of heart

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital diverticulum of left ventricle
        • Congenital malformation of myocardium
        • Congenital malformation of pericardium
        • Malposition of heart
        • Uhl's disease
      • pulmonary Q22.3
        ICD-10-CM Diagnosis Code Q22.3

        Other congenital malformations of pulmonary valve

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital malformation of pulmonary valve NOS
        • Supernumerary cusps of pulmonary valve
      • sinus coronario Q24.5
        ICD-10-CM Diagnosis Code Q24.5

        Malformation of coronary vessels

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital coronary (artery) aneurysm
      • venae cavae inferioris Q24.8
        ICD-10-CM Diagnosis Code Q24.8

        Other specified congenital malformations of heart

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital diverticulum of left ventricle
        • Congenital malformation of myocardium
        • Congenital malformation of pericardium
        • Malposition of heart
        • Uhl's disease
    • vas deferens Q55.4
      ICD-10-CM Diagnosis Code Q55.4

      Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate

        2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx POA Exempt
      Applicable To
      • Absence or aplasia of prostate
      • Absence or aplasia of spermatic cord
      • Congenital malformation of vas deferens, epididymis, seminal vesicles or prostate NOS
    • vascular Q27.9
      ICD-10-CM Diagnosis Code Q27.9

      Congenital malformation of peripheral vascular system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Anomaly of artery or vein NOS
      • brain Q28.3
        ICD-10-CM Diagnosis Code Q28.3

        Other malformations of cerebral vessels

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital cerebral aneurysm (nonruptured)
        • Congenital malformation of cerebral vessels NOS
        • Developmental venous anomaly
      • ring Q25.45
        ICD-10-CM Diagnosis Code Q25.45

        Double aortic arch

          2017 - New Code 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Vascular ring of aorta
    • vein(s) (peripheral) Q27.9
      ICD-10-CM Diagnosis Code Q27.9

      Congenital malformation of peripheral vascular system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Anomaly of artery or vein NOS
      • brain Q28.3
        ICD-10-CM Diagnosis Code Q28.3

        Other malformations of cerebral vessels

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital cerebral aneurysm (nonruptured)
        • Congenital malformation of cerebral vessels NOS
        • Developmental venous anomaly
      • cerebral Q28.3
        ICD-10-CM Diagnosis Code Q28.3

        Other malformations of cerebral vessels

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital cerebral aneurysm (nonruptured)
        • Congenital malformation of cerebral vessels NOS
        • Developmental venous anomaly
      • coronary Q24.5
        ICD-10-CM Diagnosis Code Q24.5

        Malformation of coronary vessels

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital coronary (artery) aneurysm
      • developmental Q28.3
        ICD-10-CM Diagnosis Code Q28.3

        Other malformations of cerebral vessels

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital cerebral aneurysm (nonruptured)
        • Congenital malformation of cerebral vessels NOS
        • Developmental venous anomaly
      • great Q26.9
        ICD-10-CM Diagnosis Code Q26.9

        Congenital malformation of great vein, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital anomaly of vena cava (inferior) (superior) NOS
        • specified NEC Q26.8
          ICD-10-CM Diagnosis Code Q26.8

          Other congenital malformations of great veins

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          Applicable To
          • Absence of vena cava (inferior) (superior)
          • Azygos continuation of inferior vena cava
          • Persistent left posterior cardinal vein
          • Scimitar syndrome
    • vena cava Q26.9
      (inferior) (superior)
      ICD-10-CM Diagnosis Code Q26.9

      Congenital malformation of great vein, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of vena cava (inferior) (superior) NOS
    • venous - see Anomaly, vein(s)
    • venous return Q26.8
      ICD-10-CM Diagnosis Code Q26.8

      Other congenital malformations of great veins

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Absence of vena cava (inferior) (superior)
      • Azygos continuation of inferior vena cava
      • Persistent left posterior cardinal vein
      • Scimitar syndrome
    • ventricular
      • bands or folds Q24.8
        ICD-10-CM Diagnosis Code Q24.8

        Other specified congenital malformations of heart

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital diverticulum of left ventricle
        • Congenital malformation of myocardium
        • Congenital malformation of pericardium
        • Malposition of heart
        • Uhl's disease
      • septa Q21.0
        ICD-10-CM Diagnosis Code Q21.0

        Ventricular septal defect

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Roger's disease
    • vertebra Q76.49
      ICD-10-CM Diagnosis Code Q76.49

      Other congenital malformations of spine, not associated with scoliosis

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of vertebra NOS
      • Congenital fusion of spine NOS
      • Congenital malformation of lumbosacral (joint) (region) NOS
      • Congenital malformation of spine NOS
      • Hemivertebra NOS
      • Malformation of spine NOS
      • Platyspondylisis NOS
      • Supernumerary vertebra NOS
    • vesicourethral orifice Q64.79
      ICD-10-CM Diagnosis Code Q64.79

      Other congenital malformations of bladder and urethra

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    • vessel(s) Q27.9
      ICD-10-CM Diagnosis Code Q27.9

      Congenital malformation of peripheral vascular system, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Anomaly of artery or vein NOS
      • optic papilla Q14.2
        ICD-10-CM Diagnosis Code Q14.2

        Congenital malformation of optic disc

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Coloboma of optic disc
      • precerebral Q28.1
        ICD-10-CM Diagnosis Code Q28.1

        Other malformations of precerebral vessels

          2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital malformation of precerebral vessels NOS
        • Congenital precerebral aneurysm (nonruptured)
    • vitelline duct Q43.0
      ICD-10-CM Diagnosis Code Q43.0

      Meckel's diverticulum (displaced) (hypertrophic)

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Persistent omphalomesenteric duct
      • Persistent vitelline duct
    • vitreous body or humor Q14.0
      ICD-10-CM Diagnosis Code Q14.0

      Congenital malformation of vitreous humor

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital vitreous opacity
    • vulva Q52.70
      ICD-10-CM Diagnosis Code Q52.70

      Unspecified congenital malformations of vulva

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of vulva NOS
    • wrist Q74.0
      (joint)
      ICD-10-CM Diagnosis Code Q74.0

      Other congenital malformations of upper limb(s), including shoulder girdle

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory carpal bones
      • Cleidocranial dysostosis
      • Congenital pseudarthrosis of clavicle
      • Macrodactylia (fingers)
      • Madelung's deformity
      • Radioulnar synostosis
      • Sprengel's deformity
      • Triphalangeal thumb