Q43.9
Q43.9: Congenital malformation of intestine, unspecified
Billable / specific codeICD-10-CMPOA exempt
Q43.9 is a billable, specific ICD-10-CM code for congenital malformation of intestine, unspecified. It is valid for submission on a claim.
Check Q43.9 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Q43.9 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56632Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Alphabetic index entries that lead here
- Anomaly, anomalous›anus
- Anomaly, anomalous›cecum
- Anomaly, anomalous›colon
- Anomaly, anomalous›duodenum
- Anomaly, anomalous›ileocecal(coil) (valve)
- Anomaly, anomalous›ileum
- Anomaly, anomalous›intestine(large) (small)
- Anomaly, anomalous›rectum
- Anomaly, anomalous›sigmoid(flexure)
- Deformity›cecum(congenital)
- Deformity›colon(congenital)
- Deformity›duodenum(congenital)
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
- Q43.7Persistent cloaca
- Q43.8Other specified congenital malformations of intestine