ICD-10 Code Q22.8

Other congenital malformations of tricuspid valve

Version 2019 Billable Code POA Exempt

Valid for Submission

Q22.8 is a billable code used to specify a medical diagnosis of other congenital malformations of tricuspid valve. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

ICD-10: Q22.8
Short Description:Other congenital malformations of tricuspid valve
Long Description:Other congenital malformations of tricuspid valve

Code Classification

  • Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • Congenital malformations of the circulatory system (Q20-Q28)
      • Congenital malformations of pulmonary and tricuspid valves (Q22)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (first year ICD-10-CM implemented into the HIPAA mandated code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019

Information for Medical Professionals

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). The diagnosis code Q22.8 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 306 - CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC
  • 307 - CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC

Convert Q22.8 to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • 746.1 - Cong tricusp atres/sten (Approximate Flag)

Present on Admission (POA)

Q22.8 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Abnormal attachment of tricuspid chordae tendinae
  • Abnormality of tricuspid chordae tendinae
  • Abnormality of tricuspid chordae tendinae
  • Abnormality of tricuspid chordae tendinae
  • Absent tricuspid leaflet
  • Accessory tissue on tricuspid leaflet
  • Atrial hypertrophy
  • Cleft leaflet of tricuspid valve
  • Congenital abnormal shape of tricuspid valve
  • Congenital abnormality of tricuspid chordae tendinae
  • Congenital abnormality of tricuspid leaflet
  • Congenital absence of tricuspid valve
  • Congenital cleft of cardiac valve
  • Congenital hypertrophy of tricuspid valve
  • Congenital hypoplasia of tricuspid valve
  • Congenital insufficiency of tricuspid valve
  • Congenital valvular insufficiency
  • Dilatation of tricuspid annulus
  • Double orifice of tricuspid valve
  • Obstructed interchordal space of tricuspid chordae tendinae
  • Overriding tricuspid valve
  • Parachute malformation of tricuspid valve
  • Transient tricuspid regurgitation of newborn
  • Tricuspid annulus hypoplasia
  • Tricuspid papillary muscle abnormality
  • Tricuspid valve primary chords absent

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Q22.8 are found in the index:


Information for Patients


Congenital Heart Defects

A congenital heart defect is a problem with the structure of the heart. It is present at birth. Congenital heart defects are the most common type of birth defect. The defects can involve the walls of the heart, the valves of the heart, and the arteries and veins near the heart. They can disrupt the normal flow of blood through the heart. The blood flow can slow down, go in the wrong direction or to the wrong place, or be blocked completely.

Doctors use a physical exam and special heart tests to diagnose congenital heart defects. They often find severe defects during pregnancy or soon after birth. Signs and symptoms of severe defects in newborns include

  • Rapid breathing
  • Cyanosis - a bluish tint to the skin, lips, and fingernails
  • Fatigue
  • Poor blood circulation

Many congenital heart defects cause few or no signs and symptoms. They are often not diagnosed until children are older.

Many children with congenital heart defects don't need treatment, but others do. Treatment can include medicines, catheter procedures, surgery, and heart transplants. The treatment depends on the type of the defect, how severe it is, and a child's age, size, and general health.

NIH: National Heart, Lung, and Blood Institute

  • Atrial septal defect (Medical Encyclopedia)
  • Bicuspid aortic valve (Medical Encyclopedia)
  • Congenital heart defect corrective surgeries (Medical Encyclopedia)
  • Congenital heart disease (Medical Encyclopedia)
  • Cyanotic heart disease (Medical Encyclopedia)
  • Dextrocardia (Medical Encyclopedia)
  • Echocardiogram -- children (Medical Encyclopedia)
  • Heart murmurs and other sounds (Medical Encyclopedia)
  • Patent ductus arteriosus (Medical Encyclopedia)
  • Ventricular septal defect (Medical Encyclopedia)

[Learn More]

Heart Valve Diseases

Also called: Valvular heart disease

Your heart has four valves. Normally, these valves open to let blood flow through or out of your heart, and then shut to keep it from flowing backward. But sometimes they don't work properly. If they don't, you could have

  • Regurgitation - when blood leaks back through the valve in the wrong direction
  • Mitral valve prolapse - when one of the valves, the mitral valve, has "floppy" flaps and doesn't close tightly. It's one of the most common heart valve conditions. Sometimes it causes regurgitation.
  • Stenosis - when the valve doesn't open enough and blocks blood flow

Valve problems can be present at birth or caused by infections, heart attacks, or heart disease or damage. The main sign of heart valve disease is an unusual heartbeat sound called a heart murmur. Your doctor can hear a heart murmur with a stethoscope. But many people have heart murmurs without having a problem. Heart tests can show if you have a heart valve disease. Some valve problems are minor and do not need treatment. Others might require medicine, medical procedures, or surgery to repair or replace the valve.

NIH: National Heart, Lung, and Blood Institute

  • Aortic insufficiency (Medical Encyclopedia)
  • Aortic stenosis (Medical Encyclopedia)
  • Aortic valve surgery - minimally invasive (Medical Encyclopedia)
  • Aortic valve surgery - open (Medical Encyclopedia)
  • Bicuspid aortic valve (Medical Encyclopedia)
  • Heart murmurs and other sounds (Medical Encyclopedia)
  • Heart valve surgery (Medical Encyclopedia)
  • Transcatheter aortic valve replacement (Medical Encyclopedia)
  • Tricuspid regurgitation (Medical Encyclopedia)

[Learn More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.