1. 2023 ICD-10-CM Index
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2. 'A' Terms
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3. Index Terms Starting With 'A' (Atresia, atretic)

Index Terms Starting With 'A' (Atresia, atretic)

• Atresia, atretic

  • alimentary organ or tract NEC Q45.8
    ICD-10-CM Diagnosis Code Q45.8

    Other specified congenital malformations of digestive system

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Absence (complete) (partial) of alimentary tract NOS
    • Duplication of digestive system
    • Malposition, congenital of digestive system
    • upper Q40.8
      ICD-10-CM Diagnosis Code Q40.8

      Other specified congenital malformations of upper alimentary tract

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • ani, anus, anal (canal) Q42.3
    ICD-10-CM Diagnosis Code Q42.3

    Congenital absence, atresia and stenosis of anus without fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Imperforate anus
    • with fistula Q42.2
      ICD-10-CM Diagnosis Code Q42.2

      Congenital absence, atresia and stenosis of anus with fistula

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • aorta Q25.29
    (ring)
    ICD-10-CM Diagnosis Code Q25.29

    Other atresia of aorta

    2017 - New Code 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Atresia of aorta
  • aortic (orifice) (valve) Q23.0
    ICD-10-CM Diagnosis Code Q23.0

    Congenital stenosis of aortic valve

    2016 2017 2018 2019 2020 2021 2022 2023 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)
    • arch Q25.21
      ICD-10-CM Diagnosis Code Q25.21

      Interruption of aortic arch

      2017 - New Code 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Atresia of aortic arch
    • congenital with hypoplasia of ascending aorta and defective development of left ventricle Q23.4
      (with mitral stenosis)
      ICD-10-CM Diagnosis Code Q23.4

      Hypoplastic left heart syndrome

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    • in hypoplastic left heart syndrome Q23.4
      ICD-10-CM Diagnosis Code Q23.4

      Hypoplastic left heart syndrome

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • aqueduct of Sylvius Q03.0
    ICD-10-CM Diagnosis Code Q03.0

    Malformations of aqueduct of Sylvius

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Anomaly of aqueduct of Sylvius
    • Obstruction of aqueduct of Sylvius, congenital
    • Stenosis of aqueduct of Sylvius
    • with spina bifida - see Spina bifida, with hydrocephalus
  • artery NEC Q27.8
    ICD-10-CM Diagnosis Code Q27.8

    Other specified congenital malformations of peripheral vascular system

    2016 2017 2018 2019 2020 2021 2022 2023 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-)
    • cerebral Q28.3
      ICD-10-CM Diagnosis Code Q28.3

      Other malformations of cerebral vessels

      2016 2017 2018 2019 2020 2021 2022 2023 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 2022 2023 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 2022 2023 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 2022 2023 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 2022 2023 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 Q25.5
      ICD-10-CM Diagnosis Code Q25.5

      Atresia of pulmonary artery

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    • 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 2022 2023 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-)
    • umbilical Q27.0
      ICD-10-CM Diagnosis Code Q27.0

      Congenital absence and hypoplasia of umbilical artery

      2016 2017 2018 2019 2020 2021 2022 2023 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 2022 2023 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-)
  • auditory canal Q16.1
    (external)
    ICD-10-CM Diagnosis Code Q16.1

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

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Congenital atresia or stricture of osseous meatus
  • bile duct (common) (congenital) (hepatic) Q44.2
    ICD-10-CM Diagnosis Code Q44.2

    Atresia of bile ducts

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    • acquired - see Obstruction, bile duct
  • bladder (neck) Q64.39
    ICD-10-CM Diagnosis Code Q64.39

    Other atresia and stenosis of urethra and bladder neck

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Atresia and stenosis of urethra and bladder neck NOS
    • obstruction Q64.31
      ICD-10-CM Diagnosis Code Q64.31

      Congenital bladder neck obstruction

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Congenital obstruction of vesicourethral orifice
  • bronchus Q32.4
    ICD-10-CM Diagnosis Code Q32.4

    Other congenital malformations of bronchus

    2016 2017 2018 2019 2020 2021 2022 2023 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
  • cecum Q42.8
    ICD-10-CM Diagnosis Code Q42.8

    Congenital absence, atresia and stenosis of other parts of large intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • cervix (acquired) N88.2
    ICD-10-CM Diagnosis Code N88.2

    Stricture and stenosis of cervix uteri

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Type 1 Excludes

    • stricture and stenosis of cervix uteri complicating labor (O65.5)
    • congenital Q51.828
      ICD-10-CM Diagnosis Code Q51.828

      Other congenital malformations of cervix

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt
    • in pregnancy or childbirth - see Anomaly, cervix, in pregnancy or childbirth
      • causing obstructed labor O65.5
        ICD-10-CM Diagnosis Code O65.5

        Obstructed labor due to abnormality of maternal pelvic organs

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

        Applicable To

        • Obstructed labor due to conditions listed in O34.-

        Use Additional

        • code to identify abnormality of pelvic organs O34.-
  • choana Q30.0
    ICD-10-CM Diagnosis Code Q30.0

    Choanal atresia

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Atresia of nares (anterior) (posterior)
    • Congenital stenosis of nares (anterior) (posterior)
  • colon Q42.9
    ICD-10-CM Diagnosis Code Q42.9

    Congenital absence, atresia and stenosis of large intestine, part unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    • specified NEC Q42.8
      ICD-10-CM Diagnosis Code Q42.8

      Congenital absence, atresia and stenosis of other parts of large intestine

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • common duct Q44.2
    ICD-10-CM Diagnosis Code Q44.2

    Atresia of bile ducts

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • cricoid cartilage Q31.8
    ICD-10-CM Diagnosis Code Q31.8

    Other congenital malformations of larynx

    2016 2017 2018 2019 2020 2021 2022 2023 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 Q44.2
    ICD-10-CM Diagnosis Code Q44.2

    Atresia of bile ducts

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    • acquired K82.8
      ICD-10-CM Diagnosis Code K82.8

      Other specified diseases of gallbladder

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Adhesions of cystic duct or gallbladder
      • Atrophy of cystic duct or gallbladder
      • Cyst of cystic duct or gallbladder
      • Dyskinesia of cystic duct or gallbladder
      • Hypertrophy of cystic duct or gallbladder
      • Nonfunctioning of cystic duct or gallbladder
      • Ulcer of cystic duct or gallbladder
      • with obstruction K82.0
        ICD-10-CM Diagnosis Code K82.0

        Obstruction of gallbladder

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

        Applicable To

        • Occlusion of cystic duct or gallbladder without cholelithiasis
        • Stenosis of cystic duct or gallbladder without cholelithiasis
        • Stricture of cystic duct or gallbladder without cholelithiasis

        Type 1 Excludes

        • obstruction of gallbladder with cholelithiasis (K80.-)
  • digestive organs NEC Q45.8
    ICD-10-CM Diagnosis Code Q45.8

    Other specified congenital malformations of digestive system

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Absence (complete) (partial) of alimentary tract NOS
    • Duplication of digestive system
    • Malposition, congenital of digestive system
  • duodenum Q41.0
    ICD-10-CM Diagnosis Code Q41.0

    Congenital absence, atresia and stenosis of duodenum

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • ear canal Q16.1
    ICD-10-CM Diagnosis Code Q16.1

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

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Congenital atresia or stricture of osseous meatus
  • 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 2022 2023 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 2022 2023 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 Q39.0
    ICD-10-CM Diagnosis Code Q39.0

    Atresia of esophagus without fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Atresia of esophagus NOS
    • with tracheoesophageal fistula Q39.1
      ICD-10-CM Diagnosis Code Q39.1

      Atresia of esophagus with tracheo-esophageal fistula

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Atresia of esophagus with broncho-esophageal fistula
  • eustachian tube Q17.8
    ICD-10-CM Diagnosis Code Q17.8

    Other specified congenital malformations of ear

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Congenital absence of lobe of ear
  • fallopian tube (congenital) Q50.6
    ICD-10-CM Diagnosis Code Q50.6

    Other congenital malformations of fallopian tube and broad ligament

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx 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
    • acquired N97.1
      ICD-10-CM Diagnosis Code N97.1

      Female infertility of tubal origin

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

      Applicable To

      • Female infertility associated with congenital anomaly of tube
      • Female infertility due to tubal block
      • Female infertility due to tubal occlusion
      • Female infertility due to tubal stenosis
  • follicular cyst N83.0-
    ICD-10-CM Diagnosis Code N83.0-

    Follicular cyst of ovary

    2016 2017 - Converted to Parent Code 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

    Applicable To

    • Cyst of graafian follicle
    • Hemorrhagic follicular cyst (of ovary)
  • foramen of
    • Luschka Q03.1
      ICD-10-CM Diagnosis Code Q03.1

      Atresia of foramina of Magendie and Luschka

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Dandy-Walker syndrome
      • with spina bifida - see Spina bifida, with hydrocephalus
    • Magendie Q03.1
      ICD-10-CM Diagnosis Code Q03.1

      Atresia of foramina of Magendie and Luschka

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Dandy-Walker syndrome
      • with spina bifida - see Spina bifida, with hydrocephalus
  • gallbladder Q44.1
    ICD-10-CM Diagnosis Code Q44.1

    Other congenital malformations of gallbladder

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Congenital malformation of gallbladder NOS
    • Intrahepatic gallbladder
  • genital organ
    • external
      • female Q52.79
        ICD-10-CM Diagnosis Code Q52.79

        Other congenital malformations of vulva

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt

        Applicable To

        • Congenital cyst of vulva
      • male Q55.8
        ICD-10-CM Diagnosis Code Q55.8

        Other specified congenital malformations of male genital organs

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Male Dx POA Exempt
    • internal
      • female Q52.8
        ICD-10-CM Diagnosis Code Q52.8

        Other specified congenital malformations of female genitalia

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt
      • male Q55.8
        ICD-10-CM Diagnosis Code Q55.8

        Other specified congenital malformations of male genital organs

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Male Dx POA Exempt
  • glottis Q31.8
    ICD-10-CM Diagnosis Code Q31.8

    Other congenital malformations of larynx

    2016 2017 2018 2019 2020 2021 2022 2023 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
  • gullet Q39.0
    ICD-10-CM Diagnosis Code Q39.0

    Atresia of esophagus without fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Atresia of esophagus NOS
    • with tracheoesophageal fistula Q39.1
      ICD-10-CM Diagnosis Code Q39.1

      Atresia of esophagus with tracheo-esophageal fistula

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Atresia of esophagus with broncho-esophageal fistula
  • heart valve NEC Q24.8
    ICD-10-CM Diagnosis Code Q24.8

    Other specified congenital malformations of heart

    2016 2017 2018 2019 2020 2021 2022 2023 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 Q22.0
      ICD-10-CM Diagnosis Code Q22.0

      Pulmonary valve atresia

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    • tricuspid Q22.4
      ICD-10-CM Diagnosis Code Q22.4

      Congenital tricuspid stenosis

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Congenital tricuspid atresia
  • hymen Q52.3
    ICD-10-CM Diagnosis Code Q52.3

    Imperforate hymen

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt
    • acquired N89.6
      (postinfective)
      ICD-10-CM Diagnosis Code N89.6

      Tight hymenal ring

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

      Applicable To

      • Rigid hymen
      • Tight introitus

      Type 1 Excludes

      • imperforate hymen (Q52.3)
  • ileum Q41.2
    ICD-10-CM Diagnosis Code Q41.2

    Congenital absence, atresia and stenosis of ileum

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • intestine (small) Q41.9
    ICD-10-CM Diagnosis Code Q41.9

    Congenital absence, atresia and stenosis of small intestine, part unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Congenital absence, atresia and stenosis of intestine NOS
    • large Q42.9
      ICD-10-CM Diagnosis Code Q42.9

      Congenital absence, atresia and stenosis of large intestine, part unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
      • specified NEC Q42.8
        ICD-10-CM Diagnosis Code Q42.8

        Congenital absence, atresia and stenosis of other parts of large intestine

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • iris, filtration angle Q15.0
    ICD-10-CM Diagnosis Code Q15.0

    Congenital glaucoma

    2016 2017 2018 2019 2020 2021 2022 2023 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
  • jejunum Q41.1
    ICD-10-CM Diagnosis Code Q41.1

    Congenital absence, atresia and stenosis of jejunum

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Apple peel syndrome
    • Imperforate jejunum
  • lacrimal apparatus Q10.4
    ICD-10-CM Diagnosis Code Q10.4

    Absence and agenesis of lacrimal apparatus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Congenital absence of punctum lacrimale
  • larynx Q31.8
    ICD-10-CM Diagnosis Code Q31.8

    Other congenital malformations of larynx

    2016 2017 2018 2019 2020 2021 2022 2023 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
  • meatus urinarius Q64.33
    ICD-10-CM Diagnosis Code Q64.33

    Congenital stricture of urinary meatus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • mitral valve Q23.2
    ICD-10-CM Diagnosis Code Q23.2

    Congenital mitral stenosis

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Congenital mitral atresia
    • in hypoplastic left heart syndrome Q23.4
      ICD-10-CM Diagnosis Code Q23.4

      Hypoplastic left heart syndrome

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • nares Q30.0
    (anterior) (posterior)
    ICD-10-CM Diagnosis Code Q30.0

    Choanal atresia

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Atresia of nares (anterior) (posterior)
    • Congenital stenosis of nares (anterior) (posterior)
  • nasopharynx Q34.8
    ICD-10-CM Diagnosis Code Q34.8

    Other specified congenital malformations of respiratory system

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Atresia of nasopharynx
  • nose, nostril Q30.0
    ICD-10-CM Diagnosis Code Q30.0

    Choanal atresia

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Atresia of nares (anterior) (posterior)
    • Congenital stenosis of nares (anterior) (posterior)
    • acquired J34.89
      ICD-10-CM Diagnosis Code J34.89

      Other specified disorders of nose and nasal sinuses

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Perforation of nasal septum NOS
      • Rhinolith
  • organ or site NEC Q89.8
    ICD-10-CM Diagnosis Code Q89.8

    Other specified congenital malformations

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Use Additional

    • code(s) to identify all associated manifestations
  • 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 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Congenital atresia or stricture of osseous meatus
  • oviduct (congenital) Q50.6
    ICD-10-CM Diagnosis Code Q50.6

    Other congenital malformations of fallopian tube and broad ligament

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx 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
    • acquired N97.1
      ICD-10-CM Diagnosis Code N97.1

      Female infertility of tubal origin

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

      Applicable To

      • Female infertility associated with congenital anomaly of tube
      • Female infertility due to tubal block
      • Female infertility due to tubal occlusion
      • Female infertility due to tubal stenosis
  • parotid duct Q38.4
    ICD-10-CM Diagnosis Code Q38.4

    Congenital malformations of salivary glands and ducts

    2016 2017 2018 2019 2020 2021 2022 2023 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
    • acquired K11.8
      ICD-10-CM Diagnosis Code K11.8

      Other diseases of salivary glands

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Benign lymphoepithelial lesion of salivary gland
      • Mikulicz' disease
      • Necrotizing sialometaplasia
      • Sialectasia
      • Stenosis of salivary duct
      • Stricture of salivary duct

      Type 1 Excludes

      • Sjögren syndrome (M35.0-)
  • pulmonary (artery) Q25.5
    ICD-10-CM Diagnosis Code Q25.5

    Atresia of pulmonary artery

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    • valve Q22.0
      ICD-10-CM Diagnosis Code Q22.0

      Pulmonary valve atresia

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • pulmonic Q22.0
    ICD-10-CM Diagnosis Code Q22.0

    Pulmonary valve atresia

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • pupil Q13.2
    ICD-10-CM Diagnosis Code Q13.2

    Other congenital malformations of iris

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Anisocoria, congenital
    • Atresia of pupil
    • Congenital malformation of iris NOS
    • Corectopia
  • rectum Q42.1
    ICD-10-CM Diagnosis Code Q42.1

    Congenital absence, atresia and stenosis of rectum without fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Imperforate rectum
    • with fistula Q42.0
      ICD-10-CM Diagnosis Code Q42.0

      Congenital absence, atresia and stenosis of rectum with fistula

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • salivary duct Q38.4
    ICD-10-CM Diagnosis Code Q38.4

    Congenital malformations of salivary glands and ducts

    2016 2017 2018 2019 2020 2021 2022 2023 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
    • acquired K11.8
      ICD-10-CM Diagnosis Code K11.8

      Other diseases of salivary glands

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Benign lymphoepithelial lesion of salivary gland
      • Mikulicz' disease
      • Necrotizing sialometaplasia
      • Sialectasia
      • Stenosis of salivary duct
      • Stricture of salivary duct

      Type 1 Excludes

      • Sjögren syndrome (M35.0-)
  • sublingual duct Q38.4
    ICD-10-CM Diagnosis Code Q38.4

    Congenital malformations of salivary glands and ducts

    2016 2017 2018 2019 2020 2021 2022 2023 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
    • acquired K11.8
      ICD-10-CM Diagnosis Code K11.8

      Other diseases of salivary glands

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Benign lymphoepithelial lesion of salivary gland
      • Mikulicz' disease
      • Necrotizing sialometaplasia
      • Sialectasia
      • Stenosis of salivary duct
      • Stricture of salivary duct

      Type 1 Excludes

      • Sjögren syndrome (M35.0-)
  • submandibular duct Q38.4
    ICD-10-CM Diagnosis Code Q38.4

    Congenital malformations of salivary glands and ducts

    2016 2017 2018 2019 2020 2021 2022 2023 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
    • acquired K11.8
      ICD-10-CM Diagnosis Code K11.8

      Other diseases of salivary glands

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Benign lymphoepithelial lesion of salivary gland
      • Mikulicz' disease
      • Necrotizing sialometaplasia
      • Sialectasia
      • Stenosis of salivary duct
      • Stricture of salivary duct

      Type 1 Excludes

      • Sjögren syndrome (M35.0-)
  • submaxillary duct Q38.4
    ICD-10-CM Diagnosis Code Q38.4

    Congenital malformations of salivary glands and ducts

    2016 2017 2018 2019 2020 2021 2022 2023 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
    • acquired K11.8
      ICD-10-CM Diagnosis Code K11.8

      Other diseases of salivary glands

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Benign lymphoepithelial lesion of salivary gland
      • Mikulicz' disease
      • Necrotizing sialometaplasia
      • Sialectasia
      • Stenosis of salivary duct
      • Stricture of salivary duct

      Type 1 Excludes

      • Sjögren syndrome (M35.0-)
  • thyroid cartilage Q31.8
    ICD-10-CM Diagnosis Code Q31.8

    Other congenital malformations of larynx

    2016 2017 2018 2019 2020 2021 2022 2023 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 Q32.1
    ICD-10-CM Diagnosis Code Q32.1

    Other congenital malformations of trachea

    2016 2017 2018 2019 2020 2021 2022 2023 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
  • tricuspid valve Q22.4
    ICD-10-CM Diagnosis Code Q22.4

    Congenital tricuspid stenosis

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Congenital tricuspid atresia
  • ureter Q62.10
    ICD-10-CM Diagnosis Code Q62.10

    Congenital occlusion of ureter, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    • pelvic junction Q62.11
      ICD-10-CM Diagnosis Code Q62.11

      Congenital occlusion of ureteropelvic junction

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    • vesical orifice Q62.12
      ICD-10-CM Diagnosis Code Q62.12

      Congenital occlusion of ureterovesical orifice

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • ureteropelvic junction Q62.11
    ICD-10-CM Diagnosis Code Q62.11

    Congenital occlusion of ureteropelvic junction

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • ureterovesical orifice Q62.12
    ICD-10-CM Diagnosis Code Q62.12

    Congenital occlusion of ureterovesical orifice

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • urethra (valvular) Q64.39
    ICD-10-CM Diagnosis Code Q64.39

    Other atresia and stenosis of urethra and bladder neck

    2016 2017 2018 2019 2020 2021 2022 2023 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 2022 2023 Billable/Specific Code POA Exempt
  • urinary tract NEC Q64.8
    ICD-10-CM Diagnosis Code Q64.8

    Other specified congenital malformations of urinary system

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • uterus Q51.818
    ICD-10-CM Diagnosis Code Q51.818

    Other congenital malformations of uterus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt

    Applicable To

    • Müllerian anomaly of uterus NEC
    • acquired N85.8
      ICD-10-CM Diagnosis Code N85.8

      Other specified noninflammatory disorders of uterus

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

      Applicable To

      • Atrophy of uterus, acquired
      • Fibrosis of uterus NOS
  • vagina (congenital) Q52.4
    ICD-10-CM Diagnosis Code Q52.4

    Other congenital malformations of vagina

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt

    Applicable To

    • Canal of Nuck cyst, congenital
    • Congenital malformation of vagina NOS
    • Embryonic vaginal cyst
    • Gartner's duct cyst
    • acquired N89.5
      (postinfectional) (senile)
      ICD-10-CM Diagnosis Code N89.5

      Stricture and atresia of vagina

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

      Applicable To

      • Vaginal adhesions
      • Vaginal stenosis

      Type 1 Excludes

      • congenital atresia or stricture (Q52.4)
      • postprocedural adhesions of vagina (N99.2)
  • vas deferens Q55.3
    ICD-10-CM Diagnosis Code Q55.3

    Atresia of vas deferens

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Male Dx POA Exempt

    Code First

    • any associated cystic fibrosis (E84.-)
  • vascular NEC Q27.8
    ICD-10-CM Diagnosis Code Q27.8

    Other specified congenital malformations of peripheral vascular system

    2016 2017 2018 2019 2020 2021 2022 2023 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-)
    • cerebral Q28.3
      ICD-10-CM Diagnosis Code Q28.3

      Other malformations of cerebral vessels

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Congenital cerebral aneurysm (nonruptured)
      • Congenital malformation of cerebral vessels NOS
      • Developmental venous anomaly
    • 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 2022 2023 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-)
    • 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 2022 2023 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-)
    • 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 2022 2023 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-)
    • 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 2022 2023 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-)
  • vein NEC Q27.8
    ICD-10-CM Diagnosis Code Q27.8

    Other specified congenital malformations of peripheral vascular system

    2016 2017 2018 2019 2020 2021 2022 2023 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-)
    • 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 2022 2023 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-)
    • great Q26.8
      ICD-10-CM Diagnosis Code Q26.8

      Other congenital malformations of great veins

      2016 2017 2018 2019 2020 2021 2022 2023 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
    • 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 2022 2023 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-)
    • portal Q26.5
      ICD-10-CM Diagnosis Code Q26.5

      Anomalous portal venous connection

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    • pulmonary Q26.4
      ICD-10-CM Diagnosis Code Q26.4

      Anomalous pulmonary venous connection, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 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 2022 2023 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 2022 2023 Billable/Specific Code POA Exempt

        Applicable To

        • Total anomalous pulmonary venous return [TAPVR], subdiaphragmatic
        • Total anomalous pulmonary venous return [TAPVR], supradiaphragmatic
    • 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 2022 2023 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-)
    • 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 2022 2023 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-)
  • vena cava Q26.8
    (inferior) (superior)
    ICD-10-CM Diagnosis Code Q26.8

    Other congenital malformations of great veins

    2016 2017 2018 2019 2020 2021 2022 2023 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
  • vesicourethral orifice Q64.31
    ICD-10-CM Diagnosis Code Q64.31

    Congenital bladder neck obstruction

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Congenital obstruction of vesicourethral orifice
  • vulva Q52.79
    ICD-10-CM Diagnosis Code Q52.79

    Other congenital malformations of vulva

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt

    Applicable To

    • Congenital cyst of vulva
    • acquired N90.5
      ICD-10-CM Diagnosis Code N90.5

      Atrophy of vulva

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

      Applicable To

      • Stenosis of vulva