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ICD-10-CM Code Q23.1
Congenital insufficiency of aortic valve

BILLABLE
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
POA Exempt
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.
| ICD-10 from 2011 - 2016

Q23.1 is a billable ICD code used to specify a diagnosis of congenital insufficiency of aortic valve. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

POA Indicators on CMS form 4010A are as follows:

IndicatorMeaningCMS Will Pay CC/MCC DRG Costs
YDiagnosis was present at time of inpatient admissionYes
NDiagnosis was not present at time of inpatient admissionNo
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.No
WClinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission.Yes
1Exempt from POA reportingNo


The ICD code Q231 is used to code Aortic insufficiency

Aortic insufficiency (AI), also known as aortic regurgitation (AR), is the leaking of the aortic valve of the heart that causes blood to flow in the reverse direction during ventricular diastole, from the aorta into the left ventricle.

Specialty: Medical Genetics
MeSH Codes: D001022, D001022
ICD 9 Codes: 395.1, 746.4

Micrograph of myxomatous degeneration – a cause of aortic insufficiency.

Source: Wikipedia

Coding Notes for Q23.1 Info for medical coders on how to properly use this ICD-10 code

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.
Bicuspid aortic valve
Congenital aortic insufficiency

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

  • Congenital insufficiency of aortic valve (disorder)
  • Bicuspid aortic valve (disorder)

ICD-10-CM Alphabetical Index References for 'Q23.1 - Congenital insufficiency of aortic valve'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Q23.1. Click on any term below to browse the alphabetical index.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

Congenital insufficiency of aortic valve (exact match)

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 746.4 was previously used, Q23.1 is the appropriate modern ICD10 code.


Parent Code: Q23 - Congenital malformations of aortic and mitral valves

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/Q231