Q03Not billable, use a more specific code below

Congenital hydrocephalus

In Congenital malformations of the nervous system (Q00-Q07), chapter 17: Congenital Malformations, Deformations and Chromosomal Abnormalities

4 billable codes under Q03: none are a CC or MCC; all map to HCC 182 (Spinal Cord Disorders/Injuries).An HCC counts toward a Medicare Advantage patient's risk score.

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Instructional notes

Includes: conditions that are coded here

  • hydrocephalus in newborn

Excludes1: not coded here, use a different code

  • Arnold-Chiari syndrome, type II (Q07.0-)
  • acquired hydrocephalus (G91.-)
  • hydrocephalus due to congenital toxoplasmosis (P37.1)
  • hydrocephalus with spina bifida (Q05.0-Q05.4)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Assign Q00-QA1 codes for documented congenital anomalies or genetic disorders at any age, coding non-inherent manifestations separately and sequencing Z38 first on the birth admission.

Read Section I.C.17 (page 74)

Q03 MS-DRGs

As the principal diagnosis, all 4 billable codes under Q03 group to MS-DRG 091, 092, 093, 791, or 793 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to Q03

Notes on these codes point to Q03.

  • G91 Excludes1: congenital hydrocephalus (Q03.-)
  • Q75 Excludes1: hydrocephalus (Q03.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Hydrocephalus

Hydrocephalus is the buildup of too much cerebrospinal fluid in the brain. Normally, this fluid cushions your brain. When you have too much, though, it puts harmful pressure on your brain.

Read more about hydrocephalus on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.