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Q33.4

Q33.4Congenital bronchiectasis

Billable / specific codeICD-10-CMPOA exempt

Q33.4 is a billable, specific ICD-10-CM code for congenital bronchiectasis. It is valid for submission on a claim.

Other codes that can never be billed with Q33.4

These codes carry an Excludes1 note pointing at Q33.4. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q33.4 alone.

  • Q32Congenital malformations of trachea and bronchus
  • J47Bronchiectasis

Risk adjustment

Q33.4 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

Q33.4 is named in 11 Medicare coverage policies 11 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A52466Nebulizers - Policy Article
  • A52466Nebulizers - Policy Article
  • A52466Nebulizers - Policy Article
  • A52466Nebulizers - Policy Article

How Q33.4 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 Q33.4.

  • Bronchiectasiscongenital

Related codes at this level

Codes that share Q33. If Q33.4 is not quite right, the correct code is usually one of these.

Questions about Q33.4

Is Q33.4 a billable ICD-10-CM code?
Yes. Q33.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Q33.4 sit in the tabular list?
Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of the respiratory system (Q30-Q34).
ICD-10-CMFY2026-Apr· effective April 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.