Is Q26.2 a billable ICD-10-CM code?

Yes. Q26.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Q26.2 sit in the tabular list?

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

Q26.2

Q26.2 — Total anomalous pulmonary venous connection

Billable / specific codeICD-10-CMPOA exempt

Q26.2 is a billable, specific ICD-10-CM code for total anomalous pulmonary venous connection. It is valid for submission on a claim.

Inclusion terms

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

Total anomalous pulmonary venous return [TAPVR], subdiaphragmatic
Total anomalous pulmonary venous return [TAPVR], supradiaphragmatic

Risk adjustment

Q26.2 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

Q26.2 is named in 20 Medicare coverage policies — 20 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

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)

How Q26.2 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 Q26.2.

Anomaly, anomalous›connection›pulmonary venous›total
Anomaly, anomalous›pulmonary›venous connection›total
Atresia, atretic›vein NEC›pulmonary›total
Malformation›great›vein›anomalous›pulmonary venous connection›total

Related codes at this level

Codes that share Q26. If Q26.2 is not quite right, the correct code is usually one of these.

Questions about Q26.2

Is Q26.2 a billable ICD-10-CM code?: Yes. Q26.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Q26.2 sit in the tabular list?: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of the circulatory system (Q20-Q28).