Is Q79.5 a billable ICD-10-CM code?

No. Q79.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Q79.5 sit in the tabular list?

Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations and deformations of the musculoskeletal system (Q65-Q79).

What cannot be coded together with Q79.5?

Q79.5 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

Q79.5

Q79.5 — Other congenital malformations of abdominal wall

Non-billable headerICD-10-CM

Q79.5 is a non-billable header ICD-10-CM code for other congenital malformations of abdominal wall. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

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

umbilical hernia (K42.-)

Risk adjustment

Q79.5 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead Q79.5

2 child codes. Green means billable.

Related codes at this level

Codes that share Q79. If Q79.5 is not quite right, the correct code is usually one of these.

Questions about Q79.5

Is Q79.5 a billable ICD-10-CM code?: No. Q79.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Q79.5 sit in the tabular list?: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations and deformations of the musculoskeletal system (Q65-Q79).
What cannot be coded together with Q79.5?: Q79.5 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.