2020 ICD-10-CM Diagnosis Code Q22.5

Ebstein's anomaly

    2016 2017 2018 2019 2020 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 2020 edition of ICD-10-CM Q22.5 became effective on October 1, 2019.
  • 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
    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
  • 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 v37.0):
  • 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
  • 2020 (effective 10/1/2019): 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

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    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 2020 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

      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
      • 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.