Q22.4

Q22.4: Congenital tricuspid stenosis

Billable / specific codeICD-10-CMPOA exempt

Q22.4 is a billable, specific ICD-10-CM code for congenital tricuspid stenosis. It is valid for submission on a claim.

Check Q22.4 with the rest of the claim: free scrubber

Inclusion terms

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

Congenital tricuspid atresia

Other codes that can never be billed with Q22.4

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

I36Nonrheumatic tricuspid valve disorders

Risk adjustment

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

Medicare coverage

Q22.4 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›tricuspid valve
Atresia, atretic›tricuspid valve
Anomaly, anomalous›tricuspid›atresia or stenosis
Atresia, atretic›heart valve NEC›tricuspid
Deformity›tricuspid›atresia or stenosis
Fusion, fused›cusps, heart valve NEC›tricuspid
Stenosis, stenotic›tricuspid›congenital
Stenosis, stenotic›valve›congenital›tricuspid
Stricture›heart›valve›tricuspid
Stricture›valve›congenital›tricuspid
Anomaly, anomalous›heart›valve NEC›tricuspid›atresia
Anomaly, anomalous›heart›valve NEC›tricuspid›stenosis

Code history

Unchanged in every release from FY2024 to FY2027.