Is Q25.7 a billable ICD-10-CM code?

No. Q25.7 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Q25.7 sit in the tabular list?

Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of the circulatory system (Q20-Q28).

Q25.7

Q25.7 — Other congenital malformations of pulmonary artery

Non-billable headerICD-10-CM

Q25.7 is a non-billable header ICD-10-CM code for other congenital malformations of pulmonary artery. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with Q25.7

These codes carry an Excludes1 note pointing at Q25.7. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q25.7 alone.

I28.0Arteriovenous fistula of pulmonary vessels
I28.1Aneurysm of pulmonary artery

Risk adjustment

Q25.7 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.

Code to one of these instead Q25.7

3 child codes. Green means billable.

Related codes at this level

Codes that share Q25. If Q25.7 is not quite right, the correct code is usually one of these.

Questions about Q25.7

Is Q25.7 a billable ICD-10-CM code?: No. Q25.7 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Q25.7 sit in the tabular list?: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of the circulatory system (Q20-Q28).