2027 ICD-10-CM Diagnosis Code Q25.0Patent ductus arteriosus

ICD-10-CM Codes›Q00-Q99›Q20-Q28›Q25

ICD-10-CM Q25.0
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Q25.0 is a billable ICD-10-CM diagnosis code for patent ductus arteriosus. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 306 through 307. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 6 closely related codes. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Cardiac and circulatory congenital anomalies.

Q25.0 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 191 for payment year 2027.

Code Identity

ICD-10-CM Code
Q25.0
Billable Status
Yes — Valid for Submission
Code Describes
Patent ductus arteriosus
Short Description
Patent ductus arteriosus
Same as the full description in the CMS dataset.
Parent Code
Q25
Congenital malformations of great arteries

Code Classification

ChapterQ00-Q99Congenital malformations, deformations and chromosomal abnormalities
SectionQ20-Q28Congenital malformations of the circulatory system
CategoryQ25Congenital malformations of great arteries
This CodeQ25.0Patent ductus arteriosus

Present on Admission (POA)Billing

Q25.0 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).

Medicare Risk Adjustment (HCC)Billing

Q25.0 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model, but it maps to payment categories in the other CMS models shown below.

CMS-HCC V28 (Medicare Advantage Payment Model)
Not mapped
no payment category in the model that pays 100% of MA risk scores
Prior Model (CMS-HCC V24)
Not mapped under V24
this diagnosis newly risk-adjusts under the V28 model
Part D (RxHCC)
RxHCC 191 — Ventricular Septal Defect and Major Congenital Heart Disorders
also risk-adjusts in the Part D prescription drug model (V08)

Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Abnormality of arterial duct
  • Bilateral arterial duct
  • Bilateral arterial duct with patent left arterial duct and closed right arterial duct
  • Bilateral ductus arteriosus with closed left ductus arteriosus and patent right ductus arteriosus
  • Bilateral patent arterial ducts
  • Cardiovascular abnormality due to patent arterial duct
  • Char syndrome
  • Congenital absence of pulmonary valve
  • Congenital dilatation of ductus arteriosus
  • Congenital malposition of ductus arteriosus
  • Congenital patent ductus arteriosus aneurysm
  • Delayed closure of patent arterial duct
  • Ductus arteriosus aneurysm
  • Ductus arteriosus from subclavian artery
  • Familial patent arterial duct
  • Patent arterial duct with normal origin and insertion
  • Patent arterial duct with normal origin and insertion and within normal period for functional closure
  • Patent ductus arteriosus
  • Patent ductus arteriosus with left-to-right shunt
  • Patent ductus arteriosus with right-to-left shunt
  • Patent ductus arteriosus, bicuspid aortic valve, hand anomaly syndrome
  • Patent right arterial duct
  • Pulmonary valve agenesis, intact ventricular septum, persistent ductus arteriosus syndrome
  • Residual arterial duct patency
  • Residual patency of arterial duct following patent ductus arteriosus repair
  • Right arterial duct

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Q25.0: its own notes plus those printed at Chapter 17. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Patent ductus Botallo
  • Persistent ductus arteriosus

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 Q25.0, its category, or a range that includes it.

Code Also 1

These codes say Q25.0 may also be needed to fully describe the condition. The note gives no sequencing direction.

  • I27.83 Eisenmenger's syndrome
    patent ductus arteriosus (Q25.0)

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

Clinical InformationClinical

  • Ductus Arteriosus, Patent

    a congenital heart defect characterized by the persistent opening of fetal ductus arteriosus that connects the pulmonary artery to the descending aorta (aorta, descending) allowing unoxygenated blood to bypass the lung and flow to the placenta. normally, the ductus is closed shortly after birth.

Patient EducationClinical

Congenital Heart Defects

Congenital heart defects (CHDs) are problems with the structure of the heart. "Congenital" means that that the problems are present at birth. These defects happen when a fetus's heart doesn't develop normally during pregnancy. Congenital heart defects are the most common type of birth defect.

The full article covers:

  • What are congenital heart defects?
  • What causes congenital heart defects?
  • Who is more likely to have a baby with a congenital heart defect?
  • What are the symptoms of congenital heart defects?
  • What other problems do congenital heart defects cause?
  • How are congenital heart defects diagnosed?
  • What are the treatments for congenital heart defects?

Read the full article at MedlinePlus

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

Convert Q25.0 to ICD-9-CMHistory

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

ICD-9-CM
747.0 Patent ductus arteriosus
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 Q25.0Overview

What is the ICD-10 code for patent ductus arteriosus?

The ICD-10-CM code for patent ductus arteriosus is Q25.0 (sometimes written as Q250). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is Q25.0 (Congenital malformations of great arteries) a billable code?

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

What MS-DRG does Q25.0 group to?

When patent ductus arteriosus is the principal diagnosis on an inpatient stay, it groups to MS-DRG 306, 307, with relative weights from 0.9146 to 1.5457 depending on complications. Higher weights mean higher Medicare reimbursement.

Is Q25.0 a CC or MCC?

CMS lists Q25.0 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 6 closely related codes in its exclusion list.

Is Q25.0 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 patent ductus arteriosus on inpatient claims. The code appears in the Congenital malformations of the circulatory system (Q20-Q28) range of the CMS exempt list.

Does Q25.0 risk-adjust for Medicare Advantage payment?

Not for Medicare Advantage: Q25.0 maps to no category in the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 191 (Ventricular Septal Defect and Major Congenital Heart Disorders).