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ICD-10-CM Code Q42.8
Congenital absence, atresia and stenosis of other parts of large intestine

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

Q42.8 is a billable ICD code used to specify a diagnosis of congenital absence, atresia and stenosis of other parts of large intestine. 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 Q42 is used to code Intestinal atresia

Intestinal atresia is a malformation where there is a narrowing or absence of a portion of the intestine. This defect can either occur in the small or large intestine.

Specialty: Medical Genetics
MeSH Codes: ,
ICD 9 Codes: 751.1, 751.2
Source: Wikipedia

MS-DRG Mapping

  • DRG Group #393-395 - Other digestive system diagnoses with MCC.
  • DRG Group #393-395 - Other digestive system diagnoses with CC.
  • DRG Group #393-395 - Other digestive system diagnoses without CC or MCC.

Related Concepts SNOMET-CT

  • Congenital absence of appendix (disorder)
  • Congenital stenosis of appendix (disorder)

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

Atresia and stenosis of large intestine, rectum, and anal canal (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 Q42.8 and a single ICD9 code, 751.2 is an approximate match for comparison and conversion purposes.


Parent Code: Q42 - Congenital absence, atresia and stenosis of large intestine

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/Q428