MCMCB Pro
Q24.0

Q24.0Dextrocardia

Billable / specific codeICD-10-CMPOA exempt

Q24.0 is a billable, specific ICD-10-CM code for dextrocardia. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • dextrocardia with situs inversus (Q89.3)
  • isomerism of atrial appendages (with asplenia or polysplenia) (Q20.6)
  • mirror-image atrial arrangement with situs inversus (Q89.3)

Other codes that can never be billed with Q24.0

These codes carry an Excludes1 note pointing at Q24.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q24.0 alone.

Risk adjustment

Q24.0 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

Q24.0 is named in 21 Medicare coverage policies 21 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
  • A56451Billing and Coding: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)
  • A56476Billing and Coding: Cardiac Radionuclide Imaging
  • A56476Billing and Coding: Cardiac Radionuclide Imaging

How Q24.0 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 Q24.0.

  • Dextrocardia(true)
  • Transpositionheart
  • Malpositioncongenitalheartdextrocardia

Related codes at this level

Codes that share Q24. If Q24.0 is not quite right, the correct code is usually one of these.

Questions about Q24.0

Is Q24.0 a billable ICD-10-CM code?
Yes. Q24.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Q24.0 sit in the tabular list?
Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of the circulatory system (Q20-Q28).
What cannot be coded together with Q24.0?
Q24.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 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.