2027 ICD-10-CM Diagnosis Code Q24.6Congenital heart block

ICD-10-CM Codes›Q00-Q99›Q20-Q28›Q24

ICD-10-CM Q24.6
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Q24.6 is a billable ICD-10-CM diagnosis code for congenital heart block. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 308 through 310. As a secondary diagnosis, it counts as a major complication or comorbidity (MCC) and places an inpatient stay in the highest severity level of its MS-DRG family. It does not count, however, when the principal diagnosis is one of 59 closely related codes. The code is exempt from POA reporting. Coders also document this condition as complete atrioventricular block. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Cardiac and circulatory congenital anomalies.

Code Identity

ICD-10-CM Code
Q24.6
Billable Status
Yes — Valid for Submission
Code Describes
Congenital heart block
Short Description
Congenital heart block
Same as the full description in the CMS dataset.
Parent Code
Other congenital malformations of heart

Code Classification

ChapterQ00-Q99Congenital malformations, deformations and chromosomal abnormalities
SectionQ20-Q28Congenital malformations of the circulatory system
CategoryQ24Other congenital malformations of heart
This CodeQ24.6Congenital heart block

Present on Admission (POA)Billing

Q24.6 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Congenital malformations of the circulatory system (Q20-Q28).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Complete atrioventricular block
  • Congenital complete atrioventricular heart block
  • Congenital conduction defect
  • Congenital heart block
  • Congenital incomplete atrioventricular heart block
  • Partial atrioventricular block

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Q24.6: its own notes plus those printed at Q24 and Chapter 17. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From Q24 Other congenital malformations of heart applies to 9 codes
  • endocardial fibroelastosis (I42.4)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 17 (Q00-QA1) Congenital malformations, deformations and chromosomal abnormalities applies to 900 codes
  • inborn errors of metabolism (E70-E88)

Notes

General instructions on how these codes are used.

From Chapter 17 (Q00-QA1) Congenital malformations, deformations and chromosomal abnormalities applies to 900 codes
  • Codes from this chapter are not for use on maternal records

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name Q24.6, its category, or a range that includes it.

Use Additional Code 1

These codes say to use an additional code from the note, and Q24.6 is one of the codes named.

  • Q87.88 CTNNB1 syndrome
    congenital heart malformations (Q20.0-Q24.9) names Q20.0-Q24.9, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MAL001
Cardiac and circulatory congenital anomalies
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Arrhythmia

An arrhythmia is a problem with the rate or rhythm of your heartbeat. Your heart beats too quickly, too slowly, or with an irregular pattern. Changes in the electrical signals that control your heartbeat cause arrhythmias.

The full article covers:

  • What is an arrhythmia?
  • What causes an arrhythmia?
  • What are the symptoms of an arrhythmia?
  • How is an arrhythmia diagnosed?
  • What are the treatments for an arrhythmia?
  • Can arrhythmias be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Q24.6 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
746.86 Congenital heart block
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Q24.6Overview

What is the ICD-10 code for congenital heart block?

The ICD-10-CM code for congenital heart block is Q24.6 (sometimes written as Q246). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is Q24.6 (Other congenital malformations of heart) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report congenital heart block on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does Q24.6 group to?

When congenital heart block is the principal diagnosis on an inpatient stay, it groups to MS-DRG 309, 310, 308, with relative weights from 0.5686 to 1.1809 depending on complications. Higher weights mean higher Medicare reimbursement.

Is Q24.6 a CC or MCC?

CMS lists Q24.6 as an MCC (major complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it places the inpatient stay in the highest-weighted DRG of its severity family. It does not count when the principal diagnosis is one of the 59 closely related codes in its exclusion list.

Is Q24.6 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for congenital heart block on inpatient claims. The code appears in the Congenital malformations of the circulatory system (Q20-Q28) range of the CMS exempt list.