Q25.1

Q25.1: Coarctation of aorta

Billable / specific codeICD-10-CMPOA exempt

Q25.1 is a billable, specific ICD-10-CM code for coarctation of aorta. It is valid for submission on a claim.

Check Q25.1 with the rest of the claim: free scrubber

Inclusion terms

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

Coarctation of aorta (preductal) (postductal)
Stenosis of aorta

Risk adjustment

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

Medicare coverage

Q25.1 is named in 19 Medicare coverage policies: 19 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

Coarctation›aorta(preductal) (postductal)
Stenosis, stenotic›aorta(ascending) (supraventricular) (congenital)
Stricture›aorta(ascending) (congenital)
Anomaly, anomalous›aorta NEC›coarctation(preductal) (postductal)
Malformation›aorta›coarctation(preductal) (postductal)
Malformation›aorta›stenosis

Code history

Unchanged in every release from FY2024 to FY2027.