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Q28.1

Q28.1: Other malformations of precerebral vessels

Billable / specific codeICD-10-CMPOA exempt

Q28.1 is a billable, specific ICD-10-CM code for other malformations of precerebral vessels. It is valid for submission on a claim.

Check Q28.1 with the rest of the claim: free scrubber

Inclusion terms

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

  • Congenital malformation of precerebral vessels NOS
  • Congenital precerebral aneurysm (nonruptured)

Excludes1 inherited from the categories above Q28.1

A category’s note binds every code beneath it.

Written on Q28: Other congenital malformations of circulatory system

  • congenital aneurysm NOS (Q27.8)
  • congenital coronary aneurysm (Q24.5)
  • ruptured cerebral arteriovenous malformation (I60.8)
  • ruptured malformation of precerebral vessels (I72.0)

Excludes2 inherited from the categories above Q28.1

Not part of this code, but both may be coded when both are present.

Written on Q28: Other congenital malformations of circulatory system

  • congenital peripheral aneurysm (Q27.8)
  • congenital pulmonary aneurysm (Q25.79)
  • congenital retinal aneurysm (Q14.1)

Other codes that can never be billed with Q28.1

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • I67.1Cerebral aneurysm, nonruptured

Risk adjustment

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

Medicare coverage

Q28.1 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
  • A56691Billing and Coding: Cardiac Computed Tomography & Angiography (CCTA)
  • A57592Billing and Coding: Non-Invasive Cerebrovascular Studies

Alphabetic index entries that lead here

  • Anomaly, anomalous›precerebral vessel
  • Dissection›precerebral artery, congenital(nonruptured)
  • Distribution vessel, atypical›precerebral
  • Malformation›precerebral vessels
  • Aberrant›artery›basilar NEC
  • Aberrant›artery›precerebral
  • Aberrant›artery›vertebral
  • Aberrant›vein NEC›precerebral
  • Absence›vein congenital NEC›precerebral
  • Aneurysm›precerebral›congenital(nonruptured)
  • Anomaly, anomalous›artery›basilar NEC
  • Anomaly, anomalous›artery›vertebral NEC

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Q28

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.