Q43.4

Q43.4: Duplication of intestine

Billable / specific codeICD-10-CMPOA exempt

Q43.4 is a billable, specific ICD-10-CM code for duplication of intestine. It is valid for submission on a claim.

Check Q43.4 with the rest of the claim: free scrubber

Risk adjustment

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

Medicare coverage

Q43.4 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

Accessory›anus
Accessory›appendix
Accessory›cecum
Accessory›intestine(large) (small)
Duplication, duplex›anus
Duplication, duplex›appendix(and cecum)
Duplication, duplex›cecum(and appendix)
Duplication, duplex›intestine(large) (small)

Code history

Unchanged in every release from FY2024 to FY2027.

Risk adjustment

Medicare coverage

Alphabetic index entries that lead here

Code history

Other codes under Q43