Q43.8

Q43.8: Other specified congenital malformations of intestine

Billable / specific codeICD-10-CMPOA exempt

Q43.8 is a billable, specific ICD-10-CM code for other specified congenital malformations of intestine. It is valid for submission on a claim.

Check Q43.8 with the rest of the claim: free scrubber

Inclusion terms

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

Congenital blind loop syndrome
Congenital diverticulitis, colon
Congenital diverticulum, intestine
Dolichocolon
Megaloappendix
Megaloduodenum
Microcolon
Transposition of appendix
Transposition of colon
Transposition of intestine

Other codes that can never be billed with Q43.8

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

K57Diverticular disease of intestine
K90.2Blind loop syndrome, not elsewhere classified

Risk adjustment

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

Medicare coverage

Q43.8 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

Dolichocolon
Megaloappendix
Megaloduodenum
Microcolon(congenital)
Microvillus inclusion disease(MVD) (MVID)
MVD(microvillus inclusion disease)
MVID(microvillus inclusion disease)
Anomaly, anomalous›appendix
Anomaly, anomalous›jejunum
Appendage›intestine(epiploic)
Cyst›enterogenous
Displacement, displaced›appendix, retrocecal(congenital)

Code history

Unchanged in every release from FY2024 to FY2027.