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ICD-10-CM Code Q23.3
Congenital mitral insufficiency

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

Q23.3 is a billable ICD code used to specify a diagnosis of congenital mitral insufficiency. 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 Q233 is used to code Mitral insufficiency

Mitral insufficiency (MI), mitral regurgitation or mitral incompetence is a disorder of the heart in which the mitral valve does not close properly when the heart pumps out blood. It is the abnormal leaking of blood backwards from the left ventricle, through the mitral valve, into the left atrium, when the left ventricle contracts, i.e. there is regurgitation of blood back into the left atrium. MI is the most common form of valvular heart disease.

Specialty: Cardiology
MeSH Codes: D008944, D008944, D008944
ICD 9 Codes: 394.1, 424.0, 746.6

Mitral regurgitation (schematic drawing) During systole, contraction of the left ventricle causes abnormal backflow (arrow) into the left atrium. 1) Mitral valve 2) Left Ventricle 3) Left Atrium 4) Aorta

Source: Wikipedia

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 mitral valve (disorder)
  • Transient mitral regurgitation of newborn (disorder)

ICD-10-CM Alphabetical Index References for 'Q23.3 - Congenital mitral insufficiency'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Q23.3. Click on any term below to browse the alphabetical index.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

Congenital mitral insufficiency (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 746.6 was previously used, Q23.3 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/Q233