ICD-10-CM Code Q45.3
Other congenital malformations of pancreas and pancreatic duct
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.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.Q45.3 is a billable ICD code used to specify a diagnosis of other congenital malformations of pancreas and pancreatic duct. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
POA Indicators on CMS form 4010A are as follows:
| Indicator | Meaning | CMS Will Pay CC/MCC DRG Costs |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission | Yes |
| N | Diagnosis was not present at time of inpatient admission | No |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | No |
| W | Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission. | Yes |
| 1 | Exempt from POA reporting | No |
Coding Notes for Q45.3 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. - Accessory pancreas
- Congenital malformation of pancreas or pancreatic duct NOS
-
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." - Congenital diabetes mellitus - instead, use code E10.-
- Cystic fibrosis (E84.0-E84.9) - instead, use code E84.0-
- Fibrocystic disease of pancreas - instead, use code E84.-
- Neonatal diabetes mellitus - instead, use code P70.2
MS-DRG Mapping
- DRG Group #438-440 - Disorders of pancreas except malignancy with MCC.
- DRG Group #438-440 - Disorders of pancreas except malignancy with CC.
- DRG Group #438-440 - Disorders of pancreas except malignancy without CC or MCC.
ICD-10-CM Alphabetical Index References for 'Q45.3 - Other congenital malformations of pancreas and pancreatic duct'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Q45.3. Click on any term below to browse the alphabetical index.
Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)
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 Q45.3 and a single ICD9 code, 751.7 is an approximate match for comparison and conversion purposes.
Parent Code: Q45 - Other congenital malformations of digestive system