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ICD-10-CM Code Q89.09
Congenital malformations of spleen

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

Q89.09 is a billable ICD code used to specify a diagnosis of congenital malformations of spleen. 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 Q890 is used to code Polysplenia

Polysplenia or Chaudhrey's disease is a congenital disease manifested by multiple small accessory spleens, rather than a single, full-sized, normal spleen. Polysplenia sometimes occurs alone, but it is often accompanied by other developmental abnormalities. Conditions associated with polysplenia include gastrointestinal abnormalities, such as intestinal malrotation or biliary atresia, as well as cardiac abnormalities, such as dextrocardia.

Specialty: Medical Genetics
MeSH Codes: , ,
ICD 9 Codes: 759.0, 289.59, 759.01
Source: Wikipedia

Coding Notes for Q89.09 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.
Congenital splenomegaly

MS-DRG Mapping

  • DRG Group #814-816 - Reticuloendothelial and immunity disorders with MCC.
  • DRG Group #814-816 - Reticuloendothelial and immunity disorders with CC.
  • DRG Group #814-816 - Reticuloendothelial and immunity disorders without CC or MCC.

Related Concepts SNOMET-CT

  • Bilateral left-sidedness sequence (disorder)

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

Anomalies of spleen (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 Q89.09 and a single ICD9 code, 759.0 is an approximate match for comparison and conversion purposes.


Parent Code: Q89.0 - Congenital absence and malformations of spleen

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/Q8909