Is Q22.3 a billable ICD-10-CM code?

Yes. Q22.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Q22.3 sit in the tabular list?

Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of the circulatory system (Q20-Q28).

Q22.3

Q22.3 — Other congenital malformations of pulmonary valve

Billable / specific codeICD-10-CMPOA exempt

Q22.3 is a billable, specific ICD-10-CM code for other congenital malformations of pulmonary valve. It is valid for submission on a claim.

Inclusion terms

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

Congenital malformation of pulmonary valve NOS
Supernumerary cusps of pulmonary valve

Other codes that can never be billed with Q22.3

These codes carry an Excludes1 note pointing at Q22.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q22.3 alone.

I37Nonrheumatic pulmonary valve disorders

Risk adjustment

Q22.3 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

Q22.3 is named in 25 Medicare coverage policies — 25 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

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)

How Q22.3 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Q22.3.

Fallot's›triad or trilogy
Fenestration, fenestrated›pulmonic cusps
Supernumerary›pulmonary, pulmonic cusps
Accessory›cusp, heart valve NEC›pulmonary
Accessory›valve, heart NEC›pulmonary
Anomaly, anomalous›pulmonary›valve
Anomaly, anomalous›valve NEC›pulmonary
Dilatation›pulmonary›valve, congenital
Fenestration, fenestrated›cusps, heart valve NEC›pulmonary
Incompetency, incompetent, incompetence›pulmonary valve›congenital
Malformation›pulmonary›valve
Supernumerary›cusps, heart valve NEC›pulmonary

Related codes at this level

Codes that share Q22. If Q22.3 is not quite right, the correct code is usually one of these.

Questions about Q22.3

Is Q22.3 a billable ICD-10-CM code?: Yes. Q22.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Q22.3 sit in the tabular list?: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of the circulatory system (Q20-Q28).