Q44.3
Q44.3: Congenital stenosis and stricture of bile ducts
Billable / specific codeICD-10-CMPOA exempt
Q44.3 is a billable, specific ICD-10-CM code for congenital stenosis and stricture of bile ducts. It is valid for submission on a claim.
Check Q44.3 with the rest of the claim: free scrubberOther codes that can never be billed with Q44.3
Their own Excludes1 notes name this code, so the conflict is not listed above.
- K83.1Obstruction of bile duct
Risk adjustment
Q44.3 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 68 Cholangitis and Obstruction of Bile Duct Without Gallstones0.388 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
Q44.3 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
Alphabetic index entries that lead here
- Obstruction, obstructed, obstructive›bile duct or passage›congenital(causing jaundice)
- Stenosis, stenotic›bile duct›congenital
- Stenosis, stenotic›common duct›congenital
- Stricture›bile duct›congenital
Code history
Unchanged in every release from FY2024 to FY2027.