Q39.6

Q39.6: Congenital diverticulum of esophagus

Billable / specific codeICD-10-CMPOA exempt

Q39.6 is a billable, specific ICD-10-CM code for congenital diverticulum of esophagus. It is valid for submission on a claim.

Check Q39.6 with the rest of the claim: free scrubber

Inclusion terms

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

Congenital esophageal pouch

Other codes that can never be billed with Q39.6

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

K22.5Diverticulum of esophagus, acquired

Risk adjustment

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

Medicare coverage

Q39.6 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
A57414Billing and Coding: Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic)

Alphabetic index entries that lead here

Diverticulum, diverticula›esophagus(congenital)
Diverticulum, diverticula›pharyngoesophageal(congenital)
Pouch›esophagus, esophageal, congenital

Code history

Unchanged in every release from FY2024 to FY2027.