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Q20.4

Q20.4: Double inlet ventricle

Billable / specific codeICD-10-CMPOA exempt

Q20.4 is a billable, specific ICD-10-CM code for double inlet ventricle. It is valid for submission on a claim.

Check Q20.4 with the rest of the claim: free scrubber

Inclusion terms

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

  • Common ventricle
  • Cor triloculare biatriatum
  • Single ventricle

Excludes1 inherited from the categories above Q20.4

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

Q20.4 is named in 18 Medicare coverage policies: 18 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

  • Absence›ventricular septum
  • Common›ventricle
  • Double›inlet ventricle
  • Single›ventricle
  • Absence›septum›ventricular(congenital)
  • Agenesis›septum›ventricular
  • Cor›triloculare›biatrium
  • Displacement, displaced›ventricular septum›with rudimentary ventricle

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.