• Hypoplasia, hypoplastic

    • adrenal Q89.1
      (gland)
      ICD-10-CM Diagnosis Code Q89.1

      Congenital malformations of adrenal gland

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Type 1 Excludes
      • adrenogenital disorders (E25.-)
      • congenital adrenal hyperplasia (E25.0)
    • alimentary tract, congenital Q45.8
      ICD-10-CM Diagnosis Code Q45.8

      Other specified congenital malformations of digestive system

        2016 2017 2018 2019 2020 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 Billable/Specific Code POA Exempt
    • 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 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 Billable/Specific Code POA Exempt
    • aorta, aortic Q25.42
      ICD-10-CM Diagnosis Code Q25.42

      Hypoplasia of aorta

        2017 - New Code 2018 2019 2020 Billable/Specific Code POA Exempt
      • ascending, in hypoplastic left heart syndrome Q23.4
        ICD-10-CM Diagnosis Code Q23.4

        Hypoplastic left heart syndrome

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      • valve Q23.1
        ICD-10-CM Diagnosis Code Q23.1

        Congenital insufficiency of aortic valve

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        Applicable To
        • Bicuspid aortic valve
        • Congenital aortic insufficiency
        • in hypoplastic left heart syndrome Q23.4
          ICD-10-CM Diagnosis Code Q23.4

          Hypoplastic left heart syndrome

            2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    • areola, congenital Q83.8
      ICD-10-CM Diagnosis Code Q83.8

      Other congenital malformations of breast

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    • arm (congenital) - see Defect, reduction, upper limb
    • artery (peripheral) Q27.8
      ICD-10-CM Diagnosis Code Q27.8

      Other specified congenital malformations of peripheral vascular system

        2016 2017 2018 2019 2020 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-)
      • brain Q28.3
        (congenital)
        ICD-10-CM Diagnosis Code Q28.3

        Other malformations of cerebral vessels

          2016 2017 2018 2019 2020 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 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 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 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 Q25.79
        ICD-10-CM Diagnosis Code Q25.79

        Other congenital malformations of pulmonary artery

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        Applicable To
        • Aberrant pulmonary artery
        • Agenesis of pulmonary artery
        • Congenital aneurysm of pulmonary artery
        • Congenital anomaly of pulmonary artery
        • Hypoplasia of pulmonary artery
        • functional, unilateral J43.0
          ICD-10-CM Diagnosis Code J43.0

          Unilateral pulmonary emphysema [MacLeod's syndrome]

            2016 2017 2018 2019 2020 Billable/Specific Code
          Applicable To
          • Swyer-James syndrome
          • Unilateral emphysema
          • Unilateral hyperlucent lung
          • Unilateral pulmonary artery functional hypoplasia
          • Unilateral transparency of lung
      • retinal Q14.1
        (congenital)
        ICD-10-CM Diagnosis Code Q14.1

        Congenital malformation of retina

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital retinal aneurysm
      • 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 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 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 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 Q17.8
      ICD-10-CM Diagnosis Code Q17.8

      Other specified congenital malformations of ear

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of lobe of ear
      • causing impairment of hearing Q16.9
        ICD-10-CM Diagnosis Code Q16.9

        Congenital malformation of ear causing impairment of hearing, unspecified

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital absence of ear NOS
    • biliary duct or passage Q44.5
      ICD-10-CM Diagnosis Code Q44.5

      Other congenital malformations of bile ducts

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory hepatic duct
      • Biliary duct duplication
      • Congenital malformation of bile duct NOS
      • Cystic duct duplication
    • bone NOS Q79.9
      ICD-10-CM Diagnosis Code Q79.9

      Congenital malformation of musculoskeletal system, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of musculoskeletal system NOS
      • Congenital deformity of musculoskeletal system NOS
      • face Q75.8
        ICD-10-CM Diagnosis Code Q75.8

        Other specified congenital malformations of skull and face bones

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        Applicable To
        • Absence of skull bone, congenital
        • Congenital deformity of forehead
        • Platybasia
      • marrow D61.9
        ICD-10-CM Diagnosis Code D61.9

        Aplastic anemia, unspecified

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Hypoplastic anemia NOS
        • Medullary hypoplasia
        • megakaryocytic D69.49
          ICD-10-CM Diagnosis Code D69.49

          Other primary thrombocytopenia

            2016 2017 2018 2019 2020 Billable/Specific Code
          Applicable To
          • Megakaryocytic hypoplasia
          • Primary thrombocytopenia NOS
      • skull - see Hypoplasia, skull
    • brain Q02
      ICD-10-CM Diagnosis Code Q02

      Microcephaly

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Code First
      • , if applicable, congenital Zika virus disease
      Includes
      • hydromicrocephaly
      • micrencephalon
      Type 1 Excludes
      • Meckel-Gruber syndrome (Q61.9)
      • gyri Q04.3
        ICD-10-CM Diagnosis Code Q04.3

        Other reduction deformities of brain

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        Applicable To
        • Absence of part of brain
        • Agenesis of part of brain
        • Agyria
        • Aplasia of part of brain
        • Hydranencephaly
        • Hypoplasia of part of brain
        • Lissencephaly
        • Microgyria
        • Pachygyria
        Type 1 Excludes
        • congenital malformations of corpus callosum (Q04.0)
      • part of Q04.3
        ICD-10-CM Diagnosis Code Q04.3

        Other reduction deformities of brain

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        Applicable To
        • Absence of part of brain
        • Agenesis of part of brain
        • Agyria
        • Aplasia of part of brain
        • Hydranencephaly
        • Hypoplasia of part of brain
        • Lissencephaly
        • Microgyria
        • Pachygyria
        Type 1 Excludes
        • congenital malformations of corpus callosum (Q04.0)
    • breast N64.82
      (areola)
      ICD-10-CM Diagnosis Code N64.82

      Hypoplasia of breast

        2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years)
      Applicable To
      • Micromastia
      Type 1 Excludes
      • congenital absence of breast (Q83.0)
      • hypoplasia of native breast in relation to reconstructed breast (N65.1)
    • bronchus Q32.4
      ICD-10-CM Diagnosis Code Q32.4

      Other congenital malformations of bronchus

        2016 2017 2018 2019 2020 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
    • cardiac 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
    • carpus - see Defect, reduction, upper limb, specified type NEC
    • cartilage hair Q78.8
      ICD-10-CM Diagnosis Code Q78.8

      Other specified osteochondrodysplasias

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Osteopoikilosis
    • 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 Billable/Specific Code POA Exempt
    • cementum K00.4
      ICD-10-CM Diagnosis Code K00.4

      Disturbances in tooth formation

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Aplasia and hypoplasia of cementum
      • Dilaceration of tooth
      • Enamel hypoplasia (neonatal) (postnatal) (prenatal)
      • Regional odontodysplasia
      • Turner's tooth
      Type 1 Excludes
      • Hutchinson's teeth and mulberry molars in congenital syphilis (A50.5)
      Type 2 Excludes
    • cephalic Q02
      ICD-10-CM Diagnosis Code Q02

      Microcephaly

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Code First
      • , if applicable, congenital Zika virus disease
      Includes
      • hydromicrocephaly
      • micrencephalon
      Type 1 Excludes
      • Meckel-Gruber syndrome (Q61.9)
    • cerebellum Q04.3
      ICD-10-CM Diagnosis Code Q04.3

      Other reduction deformities of brain

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Absence of part of brain
      • Agenesis of part of brain
      • Agyria
      • Aplasia of part of brain
      • Hydranencephaly
      • Hypoplasia of part of brain
      • Lissencephaly
      • Microgyria
      • Pachygyria
      Type 1 Excludes
      • congenital malformations of corpus callosum (Q04.0)
    • cervix Q51.821
      (uteri)
      ICD-10-CM Diagnosis Code Q51.821

      Hypoplasia of cervix

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    • clavicle Q74.0
      (congenital)
      ICD-10-CM Diagnosis Code Q74.0

      Other congenital malformations of upper limb(s), including shoulder girdle

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory carpal bones
      • Cleidocranial dysostosis
      • Congenital pseudarthrosis of clavicle
      • Macrodactylia (fingers)
      • Madelung's deformity
      • Radioulnar synostosis
      • Sprengel's deformity
      • Triphalangeal thumb
    • coccyx Q76.49
      ICD-10-CM Diagnosis Code Q76.49

      Other congenital malformations of spine, not associated with scoliosis

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of vertebra NOS
      • Congenital fusion of spine NOS
      • Congenital malformation of lumbosacral (joint) (region) NOS
      • Congenital malformation of spine NOS
      • Hemivertebra NOS
      • Malformation of spine NOS
      • Platyspondylisis NOS
      • Supernumerary vertebra NOS
    • 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 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 Billable/Specific Code POA Exempt
    • corpus callosum Q04.0
      ICD-10-CM Diagnosis Code Q04.0

      Congenital malformations of corpus callosum

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Agenesis of corpus callosum
    • cricoid cartilage Q31.2
      ICD-10-CM Diagnosis Code Q31.2

      Laryngeal hypoplasia

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    • digestive organ(s) Q45.8
      ICD-10-CM Diagnosis Code Q45.8

      Other specified congenital malformations of digestive system

        2016 2017 2018 2019 2020 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
        (congenital)
        ICD-10-CM Diagnosis Code Q40.8

        Other specified congenital malformations of upper alimentary tract

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    • ear (auricle) (lobe) Q17.2
      ICD-10-CM Diagnosis Code Q17.2

      Microtia

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      • middle Q16.4
        ICD-10-CM Diagnosis Code Q16.4

        Other congenital malformations of middle ear

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital malformation of middle ear NOS
    • enamel of teeth K00.4
      (neonatal) (postnatal) (prenatal)
      ICD-10-CM Diagnosis Code K00.4

      Disturbances in tooth formation

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Aplasia and hypoplasia of cementum
      • Dilaceration of tooth
      • Enamel hypoplasia (neonatal) (postnatal) (prenatal)
      • Regional odontodysplasia
      • Turner's tooth
      Type 1 Excludes
      • Hutchinson's teeth and mulberry molars in congenital syphilis (A50.5)
      Type 2 Excludes
    • endocrine Q89.2
      (gland)
      ICD-10-CM Diagnosis Code Q89.2

      Congenital malformations of other endocrine glands

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of parathyroid or thyroid gland
      • Persistent thyroglossal duct
      • Thyroglossal cyst
      Type 1 Excludes
      • congenital goiter (E03.0)
      • congenital hypothyroidism (E03.1)
    • endometrium N85.8
      ICD-10-CM Diagnosis Code N85.8

      Other specified noninflammatory disorders of uterus

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Atrophy of uterus, acquired
      • Fibrosis of uterus NOS
    • epididymis Q55.4
      (congenital)
      ICD-10-CM Diagnosis Code Q55.4

      Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate

        2016 2017 2018 2019 2020 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 Q31.2
      ICD-10-CM Diagnosis Code Q31.2

      Laryngeal hypoplasia

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    • erythroid, congenital D61.01
      ICD-10-CM Diagnosis Code D61.01

      Constitutional (pure) red blood cell aplasia

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Blackfan-Diamond syndrome
      • Congenital (pure) red cell aplasia
      • Familial hypoplastic anemia
      • Primary (pure) red cell aplasia
      • Red cell (pure) aplasia of infants
      Type 1 Excludes
      • acquired red cell aplasia (D60.9)
    • esophagus Q39.8
      (congenital)
      ICD-10-CM Diagnosis Code Q39.8

      Other congenital malformations of esophagus

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of esophagus
      • Congenital displacement of esophagus
      • Congenital duplication of esophagus
    • eustachian tube Q17.8
      ICD-10-CM Diagnosis Code Q17.8

      Other specified congenital malformations of ear

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of lobe of ear
    • eye Q11.2
      ICD-10-CM Diagnosis Code Q11.2

      Microphthalmos

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Cryptophthalmos NOS
      • Dysplasia of eye
      • Hypoplasia of eye
      • Rudimentary eye
      Type 1 Excludes
      • cryptophthalmos syndrome (Q87.0)
    • eyelid Q10.3
      (congenital)
      ICD-10-CM Diagnosis Code Q10.3

      Other congenital malformations of eyelid

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Ablepharon
      • Blepharophimosis, congenital
      • Coloboma of eyelid
      • Congenital absence or agenesis of cilia
      • Congenital absence or agenesis of eyelid
      • Congenital accessory eyelid
      • Congenital accessory eye muscle
      • Congenital malformation of eyelid NOS
    • face Q18.8
      ICD-10-CM Diagnosis Code Q18.8

      Other specified congenital malformations of face and neck

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Medial cyst of face and neck
      • Medial fistula of face and neck
      • Medial sinus of face and neck
      • bone Q75.8
        (s)
        ICD-10-CM Diagnosis Code Q75.8

        Other specified congenital malformations of skull and face bones

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        Applicable To
        • Absence of skull bone, congenital
        • Congenital deformity of forehead
        • Platybasia
    • femur (congenital) - see Defect, reduction, lower limb, specified type NEC
    • fibula (congenital) - see Defect, reduction, lower limb, specified type NEC
    • finger (congenital) - see Defect, reduction, upper limb, specified type NEC
    • focal dermal Q82.8
      ICD-10-CM Diagnosis Code Q82.8

      Other specified congenital malformations of skin

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Abnormal palmar creases
      • Accessory skin tags
      • Benign familial pemphigus [Hailey-Hailey]
      • Congenital poikiloderma
      • Cutis laxa (hyperelastica)
      • Dermatoglyphic anomalies
      • Inherited keratosis palmaris et plantaris
      • Keratosis follicularis [Darier-White]
      Type 1 Excludes
      • Ehlers-Danlos syndrome (Q79.6-)
    • foot - see Defect, reduction, lower limb, specified type NEC
    • gallbladder Q44.0
      ICD-10-CM Diagnosis Code Q44.0

      Agenesis, aplasia and hypoplasia of gallbladder

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of gallbladder
    • genitalia, genital organ(s)
      • female, congenital Q52.8
        ICD-10-CM Diagnosis Code Q52.8

        Other specified congenital malformations of female genitalia

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        • external Q52.79
          ICD-10-CM Diagnosis Code Q52.79

          Other congenital malformations of vulva

            2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
          Applicable To
          • Congenital cyst of vulva
        • internal NEC Q52.8
          ICD-10-CM Diagnosis Code Q52.8

          Other specified congenital malformations of female genitalia

            2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      • in adiposogenital dystrophy E23.6
        ICD-10-CM Diagnosis Code E23.6

        Other disorders of pituitary gland

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Abscess of pituitary
        • Adiposogenital dystrophy
    • glottis Q31.2
      ICD-10-CM Diagnosis Code Q31.2

      Laryngeal hypoplasia

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    • hair Q84.2
      ICD-10-CM Diagnosis Code Q84.2

      Other congenital malformations of hair

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital hypertrichosis
      • Congenital malformation of hair NOS
      • Persistent lanugo
    • hand (congenital) - see Defect, reduction, upper limb, specified type NEC
    • heart 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
    • humerus (congenital) - see Defect, reduction, upper limb, specified type NEC
    • 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 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 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 Billable/Specific Code POA Exempt
    • jaw M26.09
      ICD-10-CM Diagnosis Code M26.09

      Other specified anomalies of jaw size

        2016 2017 2018 2019 2020 Billable/Specific Code
      • alveolar M26.79
        ICD-10-CM Diagnosis Code M26.79

        Other specified alveolar anomalies

          2016 2017 2018 2019 2020 Billable/Specific Code
      • lower M26.04
        ICD-10-CM Diagnosis Code M26.04

        Mandibular hypoplasia

          2016 2017 2018 2019 2020 Billable/Specific Code
        • alveolar M26.74
          ICD-10-CM Diagnosis Code M26.74

          Alveolar mandibular hypoplasia

            2016 2017 2018 2019 2020 Billable/Specific Code
      • upper M26.02
        ICD-10-CM Diagnosis Code M26.02

        Maxillary hypoplasia

          2016 2017 2018 2019 2020 Billable/Specific Code
        • alveolar M26.73
          ICD-10-CM Diagnosis Code M26.73

          Alveolar maxillary hypoplasia

            2016 2017 2018 2019 2020 Billable/Specific Code
    • kidney(s) Q60.5
      ICD-10-CM Diagnosis Code Q60.5

      Renal hypoplasia, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      • bilateral Q60.4
        ICD-10-CM Diagnosis Code Q60.4

        Renal hypoplasia, bilateral

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      • unilateral Q60.3
        ICD-10-CM Diagnosis Code Q60.3

        Renal hypoplasia, unilateral

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    • labium Q52.79
      (majus) (minus)
      ICD-10-CM Diagnosis Code Q52.79

      Other congenital malformations of vulva

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital cyst of vulva
    • larynx Q31.2
      ICD-10-CM Diagnosis Code Q31.2

      Laryngeal hypoplasia

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

      Hypoplastic left heart syndrome

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    • leg (congenital) - see Defect, reduction, lower limb
    • limb Q73.8
      ICD-10-CM Diagnosis Code Q73.8

      Other reduction defects of unspecified limb(s)

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Longitudinal reduction deformity of unspecified limb(s)
      • Ectromelia of limb NOS
      • Hemimelia of limb NOS
      • Reduction defect of limb NOS
    • liver Q44.7
      ICD-10-CM Diagnosis Code Q44.7

      Other congenital malformations of liver

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory liver
      • Alagille's syndrome
      • Congenital absence of liver
      • Congenital hepatomegaly
      • Congenital malformation of liver NOS
    • lung (lobe) (not associated with short gestation) Q33.6
      ICD-10-CM Diagnosis Code Q33.6

      Congenital hypoplasia and dysplasia of lung

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Type 1 Excludes
      • pulmonary hypoplasia associated with short gestation (P28.0)
      • associated with immaturity, low birth weight, prematurity, or short gestation P28.0
        ICD-10-CM Diagnosis Code P28.0

        Primary atelectasis of newborn

          2016 2017 2018 2019 2020 Billable/Specific Code Code on Newborn Record
        Applicable To
        • Primary failure to expand terminal respiratory units
        • Pulmonary hypoplasia associated with short gestation
        • Pulmonary immaturity NOS
    • mammary Q83.8
      (areola)
      ICD-10-CM Diagnosis Code Q83.8

      Other congenital malformations of breast

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    • mandible, mandibular M26.04
      ICD-10-CM Diagnosis Code M26.04

      Mandibular hypoplasia

        2016 2017 2018 2019 2020 Billable/Specific Code
      • alveolar M26.74
        ICD-10-CM Diagnosis Code M26.74

        Alveolar mandibular hypoplasia

          2016 2017 2018 2019 2020 Billable/Specific Code
      • unilateral condylar M27.8
        ICD-10-CM Diagnosis Code M27.8

        Other specified diseases of jaws

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Cherubism
        • Exostosis
        • Fibrous dysplasia
        • Unilateral condylar hyperplasia
        • Unilateral condylar hypoplasia
        Type 1 Excludes
    • maxillary M26.02
      ICD-10-CM Diagnosis Code M26.02

      Maxillary hypoplasia

        2016 2017 2018 2019 2020 Billable/Specific Code
      • alveolar M26.73
        ICD-10-CM Diagnosis Code M26.73

        Alveolar maxillary hypoplasia

          2016 2017 2018 2019 2020 Billable/Specific Code
    • medullary D61.9
      ICD-10-CM Diagnosis Code D61.9

      Aplastic anemia, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Hypoplastic anemia NOS
      • Medullary hypoplasia
    • megakaryocytic D69.49
      ICD-10-CM Diagnosis Code D69.49

      Other primary thrombocytopenia

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Megakaryocytic hypoplasia
      • Primary thrombocytopenia NOS
    • metacarpus - see Defect, reduction, upper limb, specified type NEC
    • metatarsus - see Defect, reduction, lower limb, specified type NEC
    • muscle Q79.8
      ICD-10-CM Diagnosis Code Q79.8

      Other congenital malformations of musculoskeletal system

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Absence of muscle
      • Absence of tendon
      • Accessory muscle
      • Amyotrophia congenita
      • Congenital constricting bands
      • Congenital shortening of tendon
      • Poland syndrome
    • nail Q84.6
      (s)
      ICD-10-CM Diagnosis Code Q84.6

      Other congenital malformations of nails

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital clubnail
      • Congenital koilonychia
      • Congenital malformation of nail NOS
    • nose, nasal Q30.1
      ICD-10-CM Diagnosis Code Q30.1

      Agenesis and underdevelopment of nose

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absent of nose
    • optic nerve H47.03-
      ICD-10-CM Diagnosis Code H47.03-

      Optic nerve hypoplasia

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • osseous meatus Q17.8
      (ear)
      ICD-10-CM Diagnosis Code Q17.8

      Other specified congenital malformations of ear

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of lobe of ear
    • ovary, congenital Q50.39
      ICD-10-CM Diagnosis Code Q50.39

      Other congenital malformation of ovary

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of ovary NOS
    • pancreas Q45.0
      ICD-10-CM Diagnosis Code Q45.0

      Agenesis, aplasia and hypoplasia of pancreas

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of pancreas
    • parathyroid Q89.2
      (gland)
      ICD-10-CM Diagnosis Code Q89.2

      Congenital malformations of other endocrine glands

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of parathyroid or thyroid gland
      • Persistent thyroglossal duct
      • Thyroglossal cyst
      Type 1 Excludes
      • congenital goiter (E03.0)
      • congenital hypothyroidism (E03.1)
    • parotid gland Q38.4
      ICD-10-CM Diagnosis Code Q38.4

      Congenital malformations of salivary glands and ducts

        2016 2017 2018 2019 2020 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
    • patella Q74.1
      ICD-10-CM Diagnosis Code Q74.1

      Congenital malformation of knee

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of patella
      • Congenital dislocation of patella
      • Congenital genu valgum
      • Congenital genu varum
      • Rudimentary patella
      Type 1 Excludes
      • congenital dislocation of knee (Q68.2)
      • congenital genu recurvatum (Q68.2)
      • nail patella syndrome (Q87.2)
    • pelvis, pelvic girdle Q74.2
      ICD-10-CM Diagnosis Code Q74.2

      Other congenital malformations of lower limb(s), including pelvic girdle

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital fusion of sacroiliac joint
      • Congenital malformation of ankle joint
      • Congenital malformation of sacroiliac joint
      Type 1 Excludes
      • anteversion of femur (neck) (Q65.89)
    • penis Q55.62
      (congenital)
      ICD-10-CM Diagnosis Code Q55.62

      Hypoplasia of penis

        2016 2017 2018 2019 2020 Billable/Specific Code Male Dx POA Exempt
      Applicable To
      • Micropenis
    • peripheral vascular system Q27.8
      ICD-10-CM Diagnosis Code Q27.8

      Other specified congenital malformations of peripheral vascular system

        2016 2017 2018 2019 2020 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 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 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 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 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-)
    • pituitary Q89.2
      (gland) (congenital)
      ICD-10-CM Diagnosis Code Q89.2

      Congenital malformations of other endocrine glands

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of parathyroid or thyroid gland
      • Persistent thyroglossal duct
      • Thyroglossal cyst
      Type 1 Excludes
      • congenital goiter (E03.0)
      • congenital hypothyroidism (E03.1)
    • pulmonary (not associated with short gestation) Q33.6
      ICD-10-CM Diagnosis Code Q33.6

      Congenital hypoplasia and dysplasia of lung

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Type 1 Excludes
      • pulmonary hypoplasia associated with short gestation (P28.0)
      • artery, functional J43.0
        ICD-10-CM Diagnosis Code J43.0

        Unilateral pulmonary emphysema [MacLeod's syndrome]

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Swyer-James syndrome
        • Unilateral emphysema
        • Unilateral hyperlucent lung
        • Unilateral pulmonary artery functional hypoplasia
        • Unilateral transparency of lung
      • associated with short gestation P28.0
        ICD-10-CM Diagnosis Code P28.0

        Primary atelectasis of newborn

          2016 2017 2018 2019 2020 Billable/Specific Code Code on Newborn Record
        Applicable To
        • Primary failure to expand terminal respiratory units
        • Pulmonary hypoplasia associated with short gestation
        • Pulmonary immaturity NOS
    • radioulnar - see Defect, reduction, upper limb, specified type NEC
    • radius - see Defect, reduction, upper limb
    • rectum Q42.1
      ICD-10-CM Diagnosis Code Q42.1

      Congenital absence, atresia and stenosis of rectum without fistula

        2016 2017 2018 2019 2020 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 Billable/Specific Code POA Exempt
    • respiratory system NEC Q34.8
      ICD-10-CM Diagnosis Code Q34.8

      Other specified congenital malformations of respiratory system

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Atresia of nasopharynx
    • rib Q76.6
      ICD-10-CM Diagnosis Code Q76.6

      Other congenital malformations of ribs

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory rib
      • Congenital absence of rib
      • Congenital fusion of ribs
      • Congenital malformation of ribs NOS
      Type 1 Excludes
      • short rib syndrome (Q77.2)
    • right heart syndrome Q22.6
      ICD-10-CM Diagnosis Code Q22.6

      Hypoplastic right heart syndrome

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    • sacrum Q76.49
      ICD-10-CM Diagnosis Code Q76.49

      Other congenital malformations of spine, not associated with scoliosis

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of vertebra NOS
      • Congenital fusion of spine NOS
      • Congenital malformation of lumbosacral (joint) (region) NOS
      • Congenital malformation of spine NOS
      • Hemivertebra NOS
      • Malformation of spine NOS
      • Platyspondylisis NOS
      • Supernumerary vertebra NOS
    • scapula Q74.0
      ICD-10-CM Diagnosis Code Q74.0

      Other congenital malformations of upper limb(s), including shoulder girdle

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory carpal bones
      • Cleidocranial dysostosis
      • Congenital pseudarthrosis of clavicle
      • Macrodactylia (fingers)
      • Madelung's deformity
      • Radioulnar synostosis
      • Sprengel's deformity
      • Triphalangeal thumb
    • scrotum Q55.1
      ICD-10-CM Diagnosis Code Q55.1

      Hypoplasia of testis and scrotum

        2016 2017 2018 2019 2020 Billable/Specific Code Male Dx POA Exempt
      Applicable To
      • Fusion of testes
    • shoulder girdle Q74.0
      ICD-10-CM Diagnosis Code Q74.0

      Other congenital malformations of upper limb(s), including shoulder girdle

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Accessory carpal bones
      • Cleidocranial dysostosis
      • Congenital pseudarthrosis of clavicle
      • Macrodactylia (fingers)
      • Madelung's deformity
      • Radioulnar synostosis
      • Sprengel's deformity
      • Triphalangeal thumb
    • skin Q82.8
      ICD-10-CM Diagnosis Code Q82.8

      Other specified congenital malformations of skin

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Abnormal palmar creases
      • Accessory skin tags
      • Benign familial pemphigus [Hailey-Hailey]
      • Congenital poikiloderma
      • Cutis laxa (hyperelastica)
      • Dermatoglyphic anomalies
      • Inherited keratosis palmaris et plantaris
      • Keratosis follicularis [Darier-White]
      Type 1 Excludes
      • Ehlers-Danlos syndrome (Q79.6-)
    • skull (bone) Q75.8
      ICD-10-CM Diagnosis Code Q75.8

      Other specified congenital malformations of skull and face bones

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Absence of skull bone, congenital
      • Congenital deformity of forehead
      • Platybasia
      • with
        • anencephaly Q00.0
          ICD-10-CM Diagnosis Code Q00.0

          Anencephaly

            2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
          Applicable To
          • Acephaly
          • Acrania
          • Amyelencephaly
          • Hemianencephaly
          • Hemicephaly
        • encephalocele - see Encephalocele
        • hydrocephalus Q03.9
          ICD-10-CM Diagnosis Code Q03.9

          Congenital hydrocephalus, unspecified

            2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        • microcephaly Q02
          ICD-10-CM Diagnosis Code Q02

          Microcephaly

            2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
          Code First
          • , if applicable, congenital Zika virus disease
          Includes
          • hydromicrocephaly
          • micrencephalon
          Type 1 Excludes
          • Meckel-Gruber syndrome (Q61.9)
    • spinal Q06.1
      (cord) (ventral horn cell)
      ICD-10-CM Diagnosis Code Q06.1

      Hypoplasia and dysplasia of spinal cord

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Atelomyelia
      • Myelatelia
      • Myelodysplasia of spinal cord
    • spine Q76.49
      ICD-10-CM Diagnosis Code Q76.49

      Other congenital malformations of spine, not associated with scoliosis

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of vertebra NOS
      • Congenital fusion of spine NOS
      • Congenital malformation of lumbosacral (joint) (region) NOS
      • Congenital malformation of spine NOS
      • Hemivertebra NOS
      • Malformation of spine NOS
      • Platyspondylisis NOS
      • Supernumerary vertebra NOS
    • sternum Q76.7
      ICD-10-CM Diagnosis Code Q76.7

      Congenital malformation of sternum

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of sternum
      • Sternum bifidum
    • tarsus - see Defect, reduction, lower limb, specified type NEC
    • testis Q55.1
      ICD-10-CM Diagnosis Code Q55.1

      Hypoplasia of testis and scrotum

        2016 2017 2018 2019 2020 Billable/Specific Code Male Dx POA Exempt
      Applicable To
      • Fusion of testes
    • thymic, with immunodeficiency D82.1
      ICD-10-CM Diagnosis Code D82.1

      Di George's syndrome

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Pharyngeal pouch syndrome
      • Thymic alymphoplasia
      • Thymic aplasia or hypoplasia with immunodeficiency
    • thymus (gland) Q89.2
      ICD-10-CM Diagnosis Code Q89.2

      Congenital malformations of other endocrine glands

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital malformation of parathyroid or thyroid gland
      • Persistent thyroglossal duct
      • Thyroglossal cyst
      Type 1 Excludes
      • congenital goiter (E03.0)
      • congenital hypothyroidism (E03.1)
      • with immunodeficiency D82.1
        ICD-10-CM Diagnosis Code D82.1

        Di George's syndrome

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Pharyngeal pouch syndrome
        • Thymic alymphoplasia
        • Thymic aplasia or hypoplasia with immunodeficiency
    • thyroid (gland) E03.1
      ICD-10-CM Diagnosis Code E03.1

      Congenital hypothyroidism without goiter

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Aplasia of thyroid (with myxedema)
      • Congenital atrophy of thyroid
      • Congenital hypothyroidism NOS
      • cartilage Q31.2
        ICD-10-CM Diagnosis Code Q31.2

        Laryngeal hypoplasia

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    • tibiofibular (congenital) - see Defect, reduction, lower limb, specified type NEC
    • toe - see Defect, reduction, lower limb, specified type NEC
    • tongue Q38.3
      ICD-10-CM Diagnosis Code Q38.3

      Other congenital malformations of tongue

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Aglossia
      • Bifid tongue
      • Congenital adhesion of tongue
      • Congenital fissure of tongue
      • Congenital malformation of tongue NOS
      • Double tongue
      • Hypoglossia
      • Hypoplasia of tongue
      • Microglossia
    • Turner's K00.4
      ICD-10-CM Diagnosis Code K00.4

      Disturbances in tooth formation

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Aplasia and hypoplasia of cementum
      • Dilaceration of tooth
      • Enamel hypoplasia (neonatal) (postnatal) (prenatal)
      • Regional odontodysplasia
      • Turner's tooth
      Type 1 Excludes
      • Hutchinson's teeth and mulberry molars in congenital syphilis (A50.5)
      Type 2 Excludes
    • ulna (congenital) - see Defect, reduction, upper limb
    • umbilical artery Q27.0
      ICD-10-CM Diagnosis Code Q27.0

      Congenital absence and hypoplasia of umbilical artery

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Single umbilical artery
    • unilateral condylar M27.8
      ICD-10-CM Diagnosis Code M27.8

      Other specified diseases of jaws

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Cherubism
      • Exostosis
      • Fibrous dysplasia
      • Unilateral condylar hyperplasia
      • Unilateral condylar hypoplasia
      Type 1 Excludes
    • ureter Q62.8
      ICD-10-CM Diagnosis Code Q62.8

      Other congenital malformations of ureter

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Anomaly of ureter NOS
    • uterus, congenital Q51.811
      ICD-10-CM Diagnosis Code Q51.811

      Hypoplasia of uterus

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    • vagina Q52.4
      ICD-10-CM Diagnosis Code Q52.4

      Other congenital malformations of vagina

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Canal of Nuck cyst, congenital
      • Congenital malformation of vagina NOS
      • Embryonic vaginal cyst
      • Gartner's duct cyst
    • vascular NEC peripheral Q27.8
      ICD-10-CM Diagnosis Code Q27.8

      Other specified congenital malformations of peripheral vascular system

        2016 2017 2018 2019 2020 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-)
      • brain Q28.3
        ICD-10-CM Diagnosis Code Q28.3

        Other malformations of cerebral vessels

          2016 2017 2018 2019 2020 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 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 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 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 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(s) (peripheral) Q27.8
      ICD-10-CM Diagnosis Code Q27.8

      Other specified congenital malformations of peripheral vascular system

        2016 2017 2018 2019 2020 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-)
      • brain Q28.3
        ICD-10-CM Diagnosis Code Q28.3

        Other malformations of cerebral vessels

          2016 2017 2018 2019 2020 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 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 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 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 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 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 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
    • vertebra Q76.49
      ICD-10-CM Diagnosis Code Q76.49

      Other congenital malformations of spine, not associated with scoliosis

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of vertebra NOS
      • Congenital fusion of spine NOS
      • Congenital malformation of lumbosacral (joint) (region) NOS
      • Congenital malformation of spine NOS
      • Hemivertebra NOS
      • Malformation of spine NOS
      • Platyspondylisis NOS
      • Supernumerary vertebra NOS
    • vulva, congenital Q52.79
      ICD-10-CM Diagnosis Code Q52.79

      Other congenital malformations of vulva

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital cyst of vulva
    • zonule Q12.8
      (ciliary)
      ICD-10-CM Diagnosis Code Q12.8

      Other congenital lens malformations

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Microphakia