MCMedicalCodingSoftware
Q25.5

Q25.5: Atresia of pulmonary artery

Billable / specific codeICD-10-CMPOA exempt

Q25.5 is a billable, specific ICD-10-CM code for atresia of pulmonary artery. It is valid for submission on a claim.

Check Q25.5 with the rest of the claim: free scrubber

Risk adjustment

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

Medicare coverage

Q25.5 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

  • Atresia, atretic›pulmonary(artery)
  • Atresia, atretic›artery NEC›pulmonary
  • Malformation›pulmonary›artery›atresia

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Q25

ICD-10-CMFY2027· effective October 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.