ICD-10-CM Code Q20.1
Double outlet right ventricle
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.POA Exempt Code
The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.Q20.1 is a billable ICD code used to specify a diagnosis of double outlet right ventricle. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
POA Indicators on CMS form 4010A are as follows:
| Indicator | Meaning | CMS Will Pay CC/MCC DRG Costs |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission | Yes |
| N | Diagnosis was not present at time of inpatient admission | No |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | No |
| W | Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission. | Yes |
| 1 | Exempt from POA reporting | No |
The ICD code Q201 is used to code Double outlet right ventricle
Double outlet right ventricle (DORV) is a form of congenital heart disease where both of the great arteries connect (in whole or in part) to the right ventricle (RV). In some cases it is found that this occurs on the left side of the heart rather than the right side.
| Specialty: | Medical Genetics |
| MeSH Codes: | D004310, D004310, D001028, D001028 |
| ICD 9 Codes: | 745.11, 745.11, 745.0, 745.1 |
Coding Notes for Q20.1 Info for medical coders on how to properly use this ICD-10 code
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Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive. - Taussig-Bing syndrome
MS-DRG Mapping
- DRG Group #306-307 - Cardiac congenital and valvular disorders with MCC.
- DRG Group #306-307 - Cardiac congenital and valvular disorders without MCC.
ICD-10-CM Alphabetical Index References for 'Q20.1 - Double outlet right ventricle'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Q20.1. Click on any term below to browse the alphabetical index.
Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)
This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 745.11 was previously used, Q20.1 is the appropriate modern ICD10 code.
Parent Code: Q20 - Congenital malformations of cardiac chambers and connections