Q22.5
Q22.5: Ebstein's anomaly
Billable / specific codeICD-10-CMPOA exempt
Q22.5 is a billable, specific ICD-10-CM code for ebstein's anomaly. It is valid for submission on a claim.
Check Q22.5 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Q22.5 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
- Ebstein's anomaly or syndrome(heart)
- Abnormal, abnormality, abnormalities›Ebstein
- Anomaly, anomalous›Ebstein's(heart) (tricuspid valve)
- Disease, diseased›Ebstein's heart
- Syndrome›Ebstein's
- Anomaly, anomalous›tricuspid›Ebstein's
- Deformity›tricuspid›Ebstein's
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under Q22
- Q22.0Pulmonary valve atresia
- Q22.1Congenital pulmonary valve stenosis
- Q22.2Congenital pulmonary valve insufficiency
- Q22.3Other congenital malformations of pulmonary valve
- Q22.4Congenital tricuspid stenosis
- Q22.6Hypoplastic right heart syndrome
- Q22.8Other congenital malformations of tricuspid valve
- Q22.9Congenital malformation of tricuspid valve, unspecified