Q79.0

Q79.0: Congenital diaphragmatic hernia

Billable / specific codeICD-10-CMPOA exempt

Q79.0 is a billable, specific ICD-10-CM code for congenital diaphragmatic hernia. It is valid for submission on a claim.

Check Q79.0 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

congenital hiatus hernia (Q40.1)

Excludes2 inherited from the categories above Q79.0

Not part of this code, but both may be coded when both are present.

Written on Q79: Congenital malformations of musculoskeletal system, not elsewhere classified

congenital (sternomastoid) torticollis (Q68.0)

Other codes that can never be billed with Q79.0

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

J98.6Disorders of diaphragm
K44Diaphragmatic hernia
Q40.1Congenital hiatus hernia

Risk adjustment

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

Medicare coverage

Q79.0 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax

Alphabetic index entries that lead here

Hernia, hernial›diaphragm, diaphragmatic›congenital
Defect, defective›diaphragm›congenital›gross(with hernia)
Defect, defective›diaphragm›congenital›with hernia

Code history

Unchanged in every release from FY2024 to FY2027.