Q89.01
Q89.01: Asplenia (congenital)
Billable / specific codeICD-10-CMPOA exempt
Q89.01 is a billable, specific ICD-10-CM code for asplenia (congenital). It is valid for submission on a claim.
Check Q89.01 with the rest of the claim: free scrubberOther codes that can never be billed with Q89.01
Their own Excludes1 notes name this code, so the conflict is not listed above.
- D73.0Hyposplenism
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Q89.01 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
- A56781Billing and Coding: Transthoracic Echocardiography (TTE)
- A57306Billing and Coding: Transthoracic Echocardiography (TTE)
Alphabetic index entries that lead here
- Asplenia(congenital)
- Ivemark's syndrome(asplenia with congenital heart disease)
- Absence›spleen(congenital)
- Agenesis›spleen
- Aplasia›spleen
- Syndrome›Ivemark's
- Anomaly, anomalous›spleen›agenesis
- Syndrome›splenic›agenesis
Code history
Unchanged in every release from FY2024 to FY2027.