ICD-10-CM Code Q22.5
Ebstein's anomaly
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.Q22.5 is a billable ICD code used to specify a diagnosis of ebstein's anomaly. 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 Q225 is used to code Ebstein's anomaly
Ebstein's anomaly is a congenital heart defect in which the septal and posterior leaflets of the tricuspid valve are displaced towards the apex of the right ventricle of the heart.
| Specialty: | Medical Genetics |
| MeSH Code: | D004437 |
| ICD 9 Code: | 746.2 |
Pathological specimen and ultrasound image of a heart with Ebstein's anomaly. Abbreviations: RA: Right atrium, ARV: Atrialized right ventricle, FRV: Functional right ventricle, AL: Anterior leaflet, SL: Septal leaflet, LA: Left atrium, LV: Left ventricle, asterisk: grade II tethering of the tricuspid septal leaflet.
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.
Related Concepts SNOMET-CT
- Ebstein's anomaly of right atrioventricular valve in functionally univentricular heart (disorder)
- Ebstein's anomaly of left atrioventricular valve (disorder)
ICD-10-CM Alphabetical Index References for 'Q22.5 - Ebstein's anomaly'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Q22.5. 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 746.2 was previously used, Q22.5 is the appropriate modern ICD10 code.
Parent Code: Q22 - Congenital malformations of pulmonary and tricuspid valves