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ICD-10-CM Code Q25.4
Other congenital malformations of aorta

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

Q25.4 is a billable ICD code used to specify a diagnosis of other congenital malformations of aorta. 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 Q254 is used to code Aneurysm of sinus of Valsalva

Aneurysm of the aortic sinus, also known as the sinus of Valsalva, is comparatively rare. When present, it is usually in either the right (65-85%) or in the noncoronary (10-30%) sinus, rarely in the left (< 5%) sinus.

Specialty: Medical Genetics
ICD 9 Code: 442.9

Aorta laid open to show the semilunar valves. (Aortic sinus, also known as "sinus of Valsalva", is labeled at upper left.)

Source: Wikipedia

Coding Notes for Q25.4 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.
Absence of aorta
Aneurysm of sinus of Valsalva (ruptured)
Aplasia of aorta
Congenital aneurysm of aorta
Congenital malformations of aorta
Congenital dilatation of aorta
Double aortic arch [vascular ring of aorta]
Hypoplasia of aorta
Persistent convolutions of aortic arch
Persistent right aortic arch
Code Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."
Hypoplasia of aorta in hypoplastic left heart syndrome - instead, use code Q23.4

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 aneurysm of aorta (disorder)
  • Vascular ring with left aortic arch to right descending aorta and right arterial ligament (disorder)
  • Vascular ring with left aortic arch and retroesophageal right descending aorta and right arterial duct arising from aortic diverticulum and aberrant right subclavian artery (disorder)
  • Preductal interruption of aorta (disorder)
  • Vascular ring with right aortic arch and right arterial ligament with absent left pulmonary artery (disorder)
  • Vascular ring with right aortic arch and right patent arterial duct with absent left pulmonary artery (disorder)

Equivalent ICD-9 Codes GENERAL EQUIVALENCE MAPPINGS (GEM)

Anomaly of aorta, unspecified (approximate match)
Anomalies of aortic arch (approximate match)
Other anomalies of aorta (approximate match)

This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code Q25.4 and a single ICD9 code, 747.29 is an approximate match for comparison and conversion purposes.


Parent Code: Q25 - Congenital malformations of great arteries

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/Q254