Q43

Q43: Other congenital malformations of intestine

Non-billable headerICD-10-CM

Q43 is a non-billable header ICD-10-CM code for other congenital malformations of intestine. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with Q43

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

K57Diverticular disease of intestine
K59.3Megacolon, not elsewhere classified
K60.3Anal fistula
K60.4Rectal fistula
K60.5Anorectal fistula
K90.2Blind loop syndrome, not elsewhere classified
C17.3Meckel's diverticulum, malignant
P76.1Transitory ileus of newborn

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead Q43

10 child codes. Green means billable.

Q43.0Meckel's diverticulum (displaced) (hypertrophic)
Q43.1Hirschsprung's disease
Q43.2Other congenital functional disorders of colon
Q43.3Congenital malformations of intestinal fixation
Q43.4Duplication of intestine
Q43.5Ectopic anus
Q43.6Congenital fistula of rectum and anus
Q43.7Persistent cloaca
Q43.8Other specified congenital malformations of intestine
Q43.9Congenital malformation of intestine, unspecified