ICD-10-CM Code Q25.8

Other congenital malformations of other great arteries

Version 2020 Billable Code POA Exempt

Valid for Submission

Q25.8 is a billable code used to specify a medical diagnosis of other congenital malformations of other great arteries. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Q25.8 might also be used to specify conditions or terms like abnormal origin of arterial duct, anatomically corrected malposition with concordant ventriculoarterial connections and parallel great arteries, anomalous insertion of arterial duct, anomalous insertion of arterial duct into distal left pulmonary artery, anomalous insertion of arterial duct into pulmonary trunk, anomalous insertion of arterial duct into right pulmonary artery, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:Q25.8
Short Description:Other congenital malformations of other great arteries
Long Description:Other congenital malformations of other great arteries

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 Q25.8 are found in the index:


Synonyms

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

  • Abnormal origin of arterial duct
  • Anatomically corrected malposition with concordant ventriculoarterial connections and parallel great arteries
  • Anomalous insertion of arterial duct
  • Anomalous insertion of arterial duct into distal left pulmonary artery
  • Anomalous insertion of arterial duct into pulmonary trunk
  • Anomalous insertion of arterial duct into right pulmonary artery
  • Anomalous insertion of arterial duct into unknown site
  • Anomalous origin of arterial duct from aortic arch
  • Anomalous origin of arterial duct from aortic diverticulum
  • Anomalous origin of arterial duct from ascending aorta
  • Anomalous origin of arterial duct from distal descending aorta
  • Anomalous origin of arterial duct from left brachiocephalic artery
  • Anomalous origin of arterial duct from left carotid artery
  • Anomalous origin of arterial duct from right carotid artery
  • Anomalous origin of arterial duct from right subclavian artery
  • Anomalous origin of left arterial duct from right aortic arch
  • Anomalous origin of right arterial duct from right aortic arch
  • Anomalous separate origins of internal carotid arteries and external carotid arteries from single aortic arch
  • Arterial duct from innominate artery
  • Arterial duct from left subclavian artery
  • Bilateral arterial duct
  • Bilateral arterial duct with patent left arterial duct and closed right arterial duct
  • Bilateral closed arterial ducts
  • Bilateral ductus arteriosus with closed left ductus arteriosus and patent right ductus arteriosus
  • Concordant ventriculoarterial connections
  • Congenital abnormality of arterial duct
  • Congenital malposition of innominate artery
  • Congenital short growth of innominate artery
  • Distal origin of brachiocephalic trunk
  • Ductus arteriosus from retro-esophageal aortic diverticulum
  • Ductus arteriosus from subclavian artery
  • Ductus arteriosus from subclavian artery
  • Origin of innominate artery from left side of aortic arch
  • Parallel course of aorta and pulmonary artery
  • Right arterial duct
  • Subaortic course of innominate vein
  • Vascular ring due to aberrant subclavian artery and bilateral arterial ducts
  • Vascular ring with left aortic arch and right arterial duct arising from aberrant retroesophageal innominate artery
  • Vascular ring with malrotation and dextroversion of heart and hypoplasia of right lung and left arterial duct
  • Vascular ring with retrotracheal right pulmonary artery from ascending aorta
  • Vascular ring with right aortic arch and left arterial duct from retroesophageal diverticulum of aorta

Diagnostic Related Groups

The ICD-10 code Q25.8 is grouped in the following groups for version MS-DRG V37.0 What are 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).
applicable from 10/01/2019 through 09/30/2020.

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

Present on Admission (POA)

Q25.8 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. Review other POA exempt codes here .

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

Convert Q25.8 to ICD-9

  • 747.29 - Cong anom of aorta NEC (Approximate Flag)

Code Classification

  • Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • Congenital malformations of the circulatory system (Q20-Q28)
      • Congenital malformations of great arteries (Q25)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA 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
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

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


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