2020 ICD-10-CM Diagnosis Code Q22.4

Congenital tricuspid stenosis

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • Q22.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM Q22.4 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Q22.4 - other international versions of ICD-10 Q22.4 may differ.
Applicable To
  • Congenital tricuspid atresia
The following code(s) above Q22.4 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Q22.4:
  • Q00-Q99
    2020 ICD-10-CM Range Q00-Q99

    Congenital malformations, deformations and chromosomal abnormalities

    Note
    • Codes from this chapter are not for use on maternal records
    Type 2 Excludes
    • inborn errors of metabolism (E70-E88)
    Congenital malformations, deformations and chromosomal abnormalities
Approximate Synonyms
  • Atresia, tricuspid (heart valve condition)
  • Congenital atresia of tricuspid valve
  • Congenital stenosis of tricuspid valve
  • Congenital tricuspid atresia (at birth)
  • Congenital tricuspid valve stenosis (at birth)
  • Stenosis (narrowing) of tricuspid valve, congenital
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • Q22.4 is considered exempt from POA reporting.
ICD-10-CM Q22.4 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 306 Cardiac congenital and valvular disorders with mcc
  • 307 Cardiac congenital and valvular disorders without mcc

Convert Q22.4 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to Q22.4:
  • Type 1 Excludes: I36
    ICD-10-CM Diagnosis Code I36

    Nonrheumatic tricuspid valve disorders

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • tricuspid valve disorders of unspecified cause (I07.-)
    • tricuspid valve disorders specified as congenital (Q22.4, Q22.8, Q22.9)
    • tricuspid valve disorders specified as rheumatic (I07.-)
    • tricuspid valve disorders with aortic and/or mitral valve involvement (I08.-)

Diagnosis Index entries containing back-references to Q22.4:
  • Absence (of) (organ or part) (complete or partial)
    • tricuspid valve Q22.4
  • Anomaly, anomalous (congenital) (unspecified type) Q89.9
    ICD-10-CM Diagnosis Code Q89.9

    Congenital malformation, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Applicable To
    • Congenital anomaly NOS
    • Congenital deformity NOS
    • heart Q24.9
      ICD-10-CM Diagnosis Code Q24.9

      Congenital malformation of heart, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of heart
      • Congenital disease of heart
      • valve NEC Q24.8
        ICD-10-CM Diagnosis Code Q24.8

        Other specified congenital malformations of heart

          2016 2017 2018 2019 2020 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
    • tricuspid (leaflet) (valve) Q22.9
      ICD-10-CM Diagnosis Code Q22.9

      Congenital malformation of tricuspid valve, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      • atresia or stenosis Q22.4
  • Atresia, atretic
    • heart valve NEC Q24.8
      ICD-10-CM Diagnosis Code Q24.8

      Other specified congenital malformations of heart

        2016 2017 2018 2019 2020 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
      • tricuspid Q22.4
    • tricuspid valve Q22.4
  • Deformity Q89.9
    ICD-10-CM Diagnosis Code Q89.9

    Congenital malformation, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Applicable To
    • Congenital anomaly NOS
    • Congenital deformity NOS
    • tricuspid (leaflets) (valve) I07.8
      ICD-10-CM Diagnosis Code I07.8

      Other rheumatic tricuspid valve diseases

        2016 2017 2018 2019 2020 Billable/Specific Code
      • atresia or stenosis Q22.4
  • Fusion, fused (congenital)
    • cusps, heart valve NEC Q24.8
      ICD-10-CM Diagnosis Code Q24.8

      Other specified congenital malformations of heart

        2016 2017 2018 2019 2020 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
      • tricuspid Q22.4
  • Stenosis, stenotic (cicatricial) - see also Stricture
    • heart valve (congenital) Q24.8
      ICD-10-CM Diagnosis Code Q24.8

      Other specified congenital malformations of heart

        2016 2017 2018 2019 2020 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
      • tricuspid Q22.4
    • tricuspid (valve) I07.0
      ICD-10-CM Diagnosis Code I07.0

      Rheumatic tricuspid stenosis

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Tricuspid (valve) stenosis (rheumatic)
      • congenital Q22.4
    • valve (cardiac) (heart) I38
      - see also Endocarditis
      ICD-10-CM Diagnosis Code I38

      Endocarditis, valve unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
      Includes
      • endocarditis (chronic) NOS
      • valvular incompetence NOS
      • valvular insufficiency NOS
      • valvular regurgitation NOS
      • valvular stenosis NOS
      • valvulitis (chronic) NOS
      Type 1 Excludes
      • congenital insufficiency of cardiac valve NOS (Q24.8)
      • congenital stenosis of cardiac valve NOS (Q24.8)
      • endocardial fibroelastosis (I42.4)
      • endocarditis specified as rheumatic (I09.1)
      • congenital Q24.8
        ICD-10-CM Diagnosis Code Q24.8

        Other specified congenital malformations of heart

          2016 2017 2018 2019 2020 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
        • tricuspid Q22.4
  • Stricture - see also Stenosis
    • heart - see also Disease, heart
      • valve I38
        - see also Endocarditis
        ICD-10-CM Diagnosis Code I38

        Endocarditis, valve unspecified

          2016 2017 2018 2019 2020 Billable/Specific Code
        Includes
        • endocarditis (chronic) NOS
        • valvular incompetence NOS
        • valvular insufficiency NOS
        • valvular regurgitation NOS
        • valvular stenosis NOS
        • valvulitis (chronic) NOS
        Type 1 Excludes
        • congenital insufficiency of cardiac valve NOS (Q24.8)
        • congenital stenosis of cardiac valve NOS (Q24.8)
        • endocardial fibroelastosis (I42.4)
        • endocarditis specified as rheumatic (I09.1)
        • tricuspid Q22.4
    • valve (cardiac) (heart) - see also Endocarditis

ICD-10-CM Codes Adjacent To Q22.4
Q21.2 Atrioventricular septal defect
Q21.3 Tetralogy of Fallot
Q21.4 Aortopulmonary septal defect
Q21.8 Other congenital malformations of cardiac septa
Q21.9 Congenital malformation of cardiac septum, unspecified
Q22 Congenital malformations of pulmonary and tricuspid valves
Q22.0 Pulmonary valve atresia
Q22.1 Congenital pulmonary valve stenosis
Q22.2 Congenital pulmonary valve insufficiency
Q22.3 Other congenital malformations of pulmonary valve
Q22.4 Congenital tricuspid stenosis
Q22.5 Ebstein's anomaly
Q22.6 Hypoplastic right heart syndrome
Q22.8 Other congenital malformations of tricuspid valve
Q22.9 Congenital malformation of tricuspid valve, unspecified
Q23 Congenital malformations of aortic and mitral valves
Q23.0 Congenital stenosis of aortic valve
Q23.1 Congenital insufficiency of aortic valve
Q23.2 Congenital mitral stenosis
Q23.3 Congenital mitral insufficiency
Q23.4 Hypoplastic left heart syndrome

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.