Q22.1

Q22.1: Congenital pulmonary valve stenosis

Billable / specific codeICD-10-CMPOA exempt

Q22.1 is a billable, specific ICD-10-CM code for congenital pulmonary valve stenosis. It is valid for submission on a claim.

Check Q22.1 with the rest of the claim: free scrubber

Other codes that can never be billed with Q22.1

Their own Excludes1 notes name this code, so the conflict is not listed above.

I37Nonrheumatic pulmonary valve disorders

Risk adjustment

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

Medicare coverage

Q22.1 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

Fusion, fused›pulmonic cusps
Stenosis, stenotic›pulmonic(congenital)
Fusion, fused›cusps, heart valve NEC›pulmonary
Anomaly, anomalous›pulmonary›valve›stenosis
Stenosis, stenotic›pulmonary›valve›congenital
Stenosis, stenotic›valve›congenital›pulmonary
Stricture›heart›valve›pulmonary
Stricture›pulmonary, pulmonic›valve›congenital
Stricture›valve›congenital›pulmonary
Anomaly, anomalous›heart›valve NEC›pulmonary›stenosis

Code history

Unchanged in every release from FY2024 to FY2027.