Q40.9
Q40.9: Congenital malformation of upper alimentary tract, unspecified
Billable / specific codeICD-10-CMPOA exempt
Q40.9 is a billable, specific ICD-10-CM code for congenital malformation of upper alimentary tract, unspecified. It is valid for submission on a claim.
Check Q40.9 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Congenital anomaly of upper alimentary tract
- Congenital deformity of upper alimentary tract
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Q40.9 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Alphabetic index entries that lead here
- Anomaly, anomalous›alimentary tract›upper
- Anomaly, anomalous›digestive organ or tract›upper
- Deformity›alimentary tract, congenital›upper
- Malformation›alimentary tract›upper
Code history
Unchanged in every release from FY2024 to FY2027.