Q43.7
Q43.7: Persistent cloaca
Billable / specific codeICD-10-CMPOA exempt
Q43.7 is a billable, specific ICD-10-CM code for persistent cloaca. It is valid for submission on a claim.
Check Q43.7 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Cloaca NOS
Other codes that can never be billed with Q43.7
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Q52.2Congenital rectovaginal fistula
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Q43.7 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
- Cloaca(persistent)
- Persistence, persistent›cloaca
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under Q43
- 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
- Q43.8Other specified congenital malformations of intestine
- Q43.9Congenital malformation of intestine, unspecified