Q43.3

Q43.3: Congenital malformations of intestinal fixation

Billable / specific codeICD-10-CMPOA exempt

Q43.3 is a billable, specific ICD-10-CM code for congenital malformations of intestinal fixation. It is valid for submission on a claim.

Check Q43.3 with the rest of the claim: free scrubber

Inclusion terms

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

Congenital omental, anomalous adhesions [bands]
Congenital peritoneal adhesions [bands]
Incomplete rotation of cecum and colon
Insufficient rotation of cecum and colon
Jackson's membrane
Malrotation of colon
Rotation failure of cecum and colon
Universal mesentery

Risk adjustment

Q43.3 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 78 Intestinal Obstruction/Perforation0.326 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

Q43.3 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56421Billing and Coding: CT of the Abdomen and Pelvis
A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
A56632Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy

Alphabetic index entries that lead here

Chilaiditi's syndrome(subphrenic displacement, colon)
Universal mesentery
Anomaly, anomalous›fixation, intestine
Band›periappendiceal, congenital
Displacement, displaced›colon(congenital)
Imperfect›rotation, intestine
Incomplete›rotation, intestine
Jackson's›membrane
Jackson's›veil
Lane's›band
Malrotation›cecum
Malrotation›colon

Code history

Unchanged in every release from FY2024 to FY2027.