Q27Not billable, use a more specific code below

Other congenital malformations of peripheral vascular system

In Congenital malformations of the circulatory system (Q20-Q28), chapter 17: Congenital Malformations, Deformations and Chromosomal Abnormalities

12 billable codes under Q27: 2 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

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Instructional notes

Excludes2: not included here, code separately if applicable

  • anomalies of cerebral and precerebral vessels (Q28.0-Q28.3)
  • anomalies of coronary vessels (Q24.5)
  • anomalies of pulmonary artery (Q25.5-Q25.7)
  • congenital retinal aneurysm (Q14.1)
  • hemangioma and lymphangioma (D18.-)

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)

Q27 MS-DRGs

As the principal diagnosis, all 12 billable codes under Q27 group to MS-DRG 299, 300, or 301 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

About the condition

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

Birth Defects

A birth defect is a problem that happens while a baby is developing in the mother's body. Most birth defects happen during the first 3 months of pregnancy. One out of every 33 babies in the United States is born with a birth defect.

Read more about birth defects on MedlinePlus

Code history

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