Congenital malformations of esophagus
In Other congenital malformations of the digestive system (Q38-Q45), chapter 17: Congenital Malformations, Deformations and Chromosomal Abnormalities
9 billable codes under Q39: 5 are an MCC, 4 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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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.
All codes under Q39
Q39 can't be used on a claim. Pick a billable code below; grey headings group them.
- Q39.0Atresia of esophagus without fistula
- Q39.1Atresia of esophagus with tracheo-esophageal fistula
- Q39.2Congenital tracheo-esophageal fistula without atresia
- Q39.3Congenital stenosis and stricture of esophagus
- Q39.4Esophageal web
- Q39.5Congenital dilatation of esophagus
- Q39.6Congenital diverticulum of esophagus
- Q39.8Other congenital malformations of esophagus
- Q39.9Congenital malformation of esophagus, unspecified
Q39 MS-DRGs
As the principal diagnosis, all 9 billable codes under Q39 group to MS-DRG 368, 369, or 370 (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 MedlinePlusEsophagus Disorders
Esophagus disorders are problems with how your esophagus works. The esophagus is the tube that carries food from your mouth to your stomach. You usually don't notice it unless you swallow something too big, hot, or cold. You might also notice it if something is wrong. When that happens, you might feel pain or have trouble swallowing (dysphagia).
Read more about esophagus disorders on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.