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Q20.3

Q20.3: Discordant ventriculoarterial connection

Billable / specific codeICD-10-CMPOA exempt

Q20.3 is a billable, specific ICD-10-CM code for discordant ventriculoarterial connection. It is valid for submission on a claim.

Check Q20.3 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Dextrotransposition of aorta
  • Transposition of great vessels (complete)

Excludes1 inherited from the categories above Q20.3

A category’s note binds every code beneath it.

Written on Q20: Congenital malformations of cardiac chambers and connections

  • dextrocardia with situs inversus (Q89.3)
  • mirror-image atrial arrangement with situs inversus (Q89.3)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

Q20.3 is named in 20 Medicare coverage policies: 20 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
  • A52868Billing and Coding: Transesophageal Echocardiography (TEE)
  • A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
  • A56451Billing and Coding: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)

Alphabetic index entries that lead here

  • Dextraposition, aorta
  • Dextrotransposition, aorta
  • Discordant connection›ventriculoarterial
  • Transposition›aorta(dextra)
  • Transposition›great vessels(complete) (partial)
  • Transposition›vessels, great(complete) (partial)

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Q20

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.