2019 ICD-10-CM Diagnosis Code Q89.3

Situs inversus

    2016 2017 2018 2019 Billable/Specific Code POA Exempt
  • Q89.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM Q89.3 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of Q89.3 - other international versions of ICD-10 Q89.3 may differ.
Applicable To
  • Dextrocardia with situs inversus
  • Mirror-image atrial arrangement with situs inversus
  • Situs inversus or transversus abdominalis
  • Situs inversus or transversus thoracis
  • Transposition of abdominal viscera
  • Transposition of thoracic viscera
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as Q89.3. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • dextrocardia NOS (
    ICD-10-CM Diagnosis Code Q24.0

    Dextrocardia

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Type 1 Excludes
    • dextrocardia with situs inversus (Q89.3)
    • isomerism of atrial appendages (with asplenia or polysplenia) (Q20.6)
    • mirror-image atrial arrangement with situs inversus (Q89.3)
    Q24.0
    )
The following code(s) above Q89.3 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 Q89.3:
  • 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
  • Complete situs inversus with dextrocardia
  • Kartagener syndrome
  • Situs inversus abdominalis
  • Situs inversus thoracis
  • Situs inversus viscerum
Clinical Information
  • A congenital abnormality in which organs in the thorax and the abdomen are opposite to their normal positions (situs solitus) due to lateral transposition. Normally the stomach and spleen are on the left, liver on the right, the three-lobed right lung is on the right, and the two-lobed left lung on the left. Situs inversus has a familial pattern and has been associated with a number of genes related to microtubule-associated proteins.
  • A congenital condition in which there is complete right-to-left reversal of the position of the major thoracic and abdominal organs (that is, they are arranged in a mirror image of the normal positioning).
  • A congenital condition in which there is complete right-to-left reversal of the position of the thoracic organs.
  • A laterization defect marked by asymmetric position of visceral organs usually occurring as a component of a wide variety of abnormalities. Transposition may be complete, with the heart, lungs and all abdominal organs reversed, or incomplete, manifesting itself as a simple reversal of the stomach or spleen. Associated malformations are variable and may include tetralogy of fallot, transposition of great vessels, pulmonary valve stenosis, ventricular and atrial septal defects, asplenia-polysplenia. And other defects.
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.
  • Q89.3 is considered exempt from POA reporting.
ICD-10-CM Q89.3 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 393 Other digestive system diagnoses with mcc
  • 394 Other digestive system diagnoses with cc
  • 395 Other digestive system diagnoses without cc/mcc

Convert Q89.3 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
Code annotations containing back-references to Q89.3:
  • Type 1 Excludes: Q20
    , Q20
    , Q24.0
    , Q24.0
    ICD-10-CM Diagnosis Code Q20

    Congenital malformations of cardiac chambers and connections

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • dextrocardia with situs inversus (Q89.3)
    • mirror-image atrial arrangement with situs inversus (Q89.3)
    ICD-10-CM Diagnosis Code Q20

    Congenital malformations of cardiac chambers and connections

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • dextrocardia with situs inversus (Q89.3)
    • mirror-image atrial arrangement with situs inversus (Q89.3)
    ICD-10-CM Diagnosis Code Q24.0

    Dextrocardia

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Type 1 Excludes
    • dextrocardia with situs inversus (Q89.3)
    • isomerism of atrial appendages (with asplenia or polysplenia) (Q20.6)
    • mirror-image atrial arrangement with situs inversus (Q89.3)
    ICD-10-CM Diagnosis Code Q24.0

    Dextrocardia

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Type 1 Excludes
    • dextrocardia with situs inversus (Q89.3)
    • isomerism of atrial appendages (with asplenia or polysplenia) (Q20.6)
    • mirror-image atrial arrangement with situs inversus (Q89.3)

Diagnosis Index entries containing back-references to Q89.3:
  • Dextrocardia (true) Q24.0
    ICD-10-CM Diagnosis Code Q24.0

    Dextrocardia

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Type 1 Excludes
    • dextrocardia with situs inversus (Q89.3)
    • isomerism of atrial appendages (with asplenia or polysplenia) (Q20.6)
    • mirror-image atrial arrangement with situs inversus (Q89.3)
    • with
      • complete transposition of viscera Q89.3
      • situs inversus Q89.3
  • Kartagener's syndrome or triad Q89.3 (sinusitis, bronchiectasis, situs inversus)
  • Levocardia (isolated) Q24.1
    ICD-10-CM Diagnosis Code Q24.1

    Levocardia

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • with situs inversus Q89.3
  • Malposition
    • congenital
      • heart Q24.8
        ICD-10-CM Diagnosis Code Q24.8

        Other specified congenital malformations of heart

          2016 2017 2018 2019 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
        • dextrocardia Q24.0
          ICD-10-CM Diagnosis Code Q24.0

          Dextrocardia

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Type 1 Excludes
          • dextrocardia with situs inversus (Q89.3)
          • isomerism of atrial appendages (with asplenia or polysplenia) (Q20.6)
          • mirror-image atrial arrangement with situs inversus (Q89.3)
          • with complete transposition of viscera Q89.3
  • Sinusitis-bronchiectasis-situs inversus Q89.3 (syndrome) (triad)
  • Situs inversus or transversus Q89.3 (abdominalis) (thoracis)
  • Syndrome - see also Disease
    • Kartagener's Q89.3
    • sinusitis-bronchiectasis-situs inversus Q89.3
  • Transposition (congenital) - see also Malposition, congenital
    • heart Q24.0
      ICD-10-CM Diagnosis Code Q24.0

      Dextrocardia

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Type 1 Excludes
      • dextrocardia with situs inversus (Q89.3)
      • isomerism of atrial appendages (with asplenia or polysplenia) (Q20.6)
      • mirror-image atrial arrangement with situs inversus (Q89.3)
      • with complete transposition of viscera Q89.3
    • stomach Q40.2
      ICD-10-CM Diagnosis Code Q40.2

      Other specified congenital malformations of stomach

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital displacement of stomach
      • Congenital diverticulum of stomach
      • Congenital hourglass stomach
      • Congenital duplication of stomach
      • Megalogastria
      • Microgastria
      • with general transposition of viscera Q89.3
    • abdominal viscera Q89.3
    • viscera Q89.3 (abdominal) (thoracic)
  • Triad
    • Kartagener's Q89.3

ICD-10-CM Codes Adjacent To Q89.3
Q87.8 Other specified congenital malformation syndromes, not elsewhere classified
Q87.81 Alport syndrome
Q87.82 Arterial tortuosity syndrome
Q87.89 Other specified congenital malformation syndromes, not elsewhere classified
Q89 Other congenital malformations, not elsewhere classified
Q89.0 Congenital absence and malformations of spleen
Q89.01 Asplenia (congenital)
Q89.09 Congenital malformations of spleen
Q89.1 Congenital malformations of adrenal gland
Q89.2 Congenital malformations of other endocrine glands
Q89.3 Situs inversus
Q89.4 Conjoined twins
Q89.7 Multiple congenital malformations, not elsewhere classified
Q89.8 Other specified congenital malformations
Q89.9 Congenital malformation, unspecified
Q90 Down syndrome
Q90.0 Trisomy 21, nonmosaicism (meiotic nondisjunction)
Q90.1 Trisomy 21, mosaicism (mitotic nondisjunction)
Q90.2 Trisomy 21, translocation
Q90.9 Down syndrome, unspecified
Q91 Trisomy 18 and Trisomy 13

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