ICD-10-CM Codes
Q00-Q99 Congenital malformations, deformations and chromosomal abnormalities
Q20-Q28 Congenital malformations of the circulatory system
Q22- Congenital malformations of pulmonary and tricuspid valves

2018/2019 ICD-10-CM Diagnosis Code Q22.5

Ebstein's anomaly

2016

2017

2018

2019

Billable/Specific Code

POA Exempt

Q22.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2018/2019 edition of ICD-10-CM Q22.5 became effective on October 1, 2018.
This is the American ICD-10-CM version of Q22.5 - other international versions of ICD-10 Q22.5 may differ.

The following code(s) above Q22.5 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 Q22.5:

Q00-Q99
2019 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

Ebsteins anomaly

Clinical Information

A congenital heart defect characterized by downward or apical displacement of the tricuspid valve, usually with the septal and posterior leaflets being attached to the wall of the right ventricle. It is characterized by a huge right atrium and a small and less effective right ventricle.
A rare congenital heart malformation characterized by apical displacement of the opening of the tricuspid valve. The defect involves both the right ventricle and the tricuspid valve, and can lead to cardiomyopathy and tachyarrhythmias.

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.

Q22.5 is considered exempt from POA reporting.

ICD-10-CM Q22.5 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):

306 Cardiac congenital and valvular disorders with mcc
307 Cardiac congenital and valvular disorders without mcc

Convert Q22.5 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

Diagnosis Index entries containing back-references to Q22.5:

Abnormal, abnormality, abnormalities - see also Anomaly
- Ebstein Q22.5
Anomaly, anomalous (congenital) (unspecified type) Q89.9
ICD-10-CM Diagnosis Code Q89.9
Congenital malformation, unspecified
Applicable To
Congenital anomaly NOS
Congenital deformity NOS
- tricuspid (leaflet) (valve) Q22.9
  ICD-10-CM Diagnosis Code Q22.9
  Congenital malformation of tricuspid valve, unspecified
  2016 2017 2018 2019 Billable/Specific Code POA Exempt
  - Ebstein's Q22.5
- Ebstein's Q22.5 (heart) (tricuspid valve)
Deformity Q89.9
ICD-10-CM Diagnosis Code Q89.9
Congenital malformation, unspecified
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 Billable/Specific Code
  - Ebstein's Q22.5
Disease, diseased - see also Syndrome
- Ebstein's heart Q22.5
Ebstein's anomaly or syndrome Q22.5 (heart)
Syndrome - see also Disease
- Ebstein's Q22.5

ICD-10-CM Codes Adjacent To Q22.5

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

Q23.8 Other congenital malformations of aortic and mitral valves

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

2018/2019 ICD-10-CM Diagnosis Code Q22.5

Ebstein's anomaly

Congenital malformations, deformations and chromosomal abnormalities

Congenital malformation, unspecified

Congenital malformation of tricuspid valve, unspecified

Congenital malformation, unspecified

Other rheumatic tricuspid valve diseases