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Code
Description

ICD-10-CM Code Q43.0
Meckel's diverticulum (displaced) (hypertrophic)

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

Q43.0 is a billable ICD code used to specify a diagnosis of meckel's diverticulum (displaced) (hypertrophic). 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 Q430 is used to code Meckel's diverticulum

A Meckel's diverticulum, a true congenital diverticulum, is a slight bulge in the small intestine present at birth and a vestigial remnant of the omphalomesenteric duct (also called the vitelline duct or yolk stalk). It is the most common malformation of the gastrointestinal tract and is present in approximately 2% of the population, with males more frequently experiencing symptoms.

Specialty: Medical Genetics
MeSH Codes: D008467, D008467
ICD 9 Codes: 152.3, 751.0

Schematic drawing of a Meckel's diverticulum with a part of the small intestine.

Coding Notes for Q43.0 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.
Persistent omphalomesenteric duct
Persistent vitelline duct

MS-DRG Mapping

  • DRG Group #380-384 - Complicated peptic ulcer with MCC.
  • DRG Group #380-384 - Complicated peptic ulcer with CC.
  • DRG Group #380-384 - Complicated peptic ulcer without CC or MCC.
  • DRG Group #380-384 - Uncomplicated peptic ulcer with MCC.
  • DRG Group #380-384 - Uncomplicated peptic ulcer without MCC.

Related Concepts SNOMET-CT

  • Bleeding Meckel's diverticulum (disorder)

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

Meckel's diverticulum (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 751.0 was previously used, Q43.0 is the appropriate modern ICD10 code.


Parent Code: Q43 - Other congenital malformations of intestine

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/Q430