ICD-10 Code Q27.2

Other congenital malformations of renal artery

Version 2019 Billable Code POA Exempt

Valid for Submission

Q27.2 is a billable code used to specify a medical diagnosis of other congenital malformations of renal artery. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

ICD-10: Q27.2
Short Description:Other congenital malformations of renal artery
Long Description:Other congenital malformations of renal artery

Code Classification

  • Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • Congenital malformations of the circulatory system (Q20-Q28)
      • Other congenital malformations of peripheral vascular system (Q27)

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 Q27.2 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 299 - PERIPHERAL VASCULAR DISORDERS WITH MCC
  • 300 - PERIPHERAL VASCULAR DISORDERS WITH CC
  • 301 - PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC

Convert Q27.2 to ICD-9

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

  • 747.62 - Renal vessel anomaly (Approximate Flag)

Present on Admission (POA)

Q27.2 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:

  • Aneurysm of renal artery
  • Congenital anomaly of renal blood vessel
  • Congenital renal artery aneurysm
  • Multiple renal arteries
  • Vascular ring with right aortic arch and left arterial duct from anomalous retroesophageal left subclavian artery
  • Vascular ring with right aortic arch and left arterial duct from retroesophageal diverticulum of aorta
  • Vascular ring with right aortic arch and left arterial duct from retroesophageal diverticulum of aorta and anomalous left subclavian artery
  • Vascular ring with right aortic arch and left arterial ligament
  • Vascular ring with right aortic arch and left arterial ligament between left subclavian artery and left common carotid artery

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 Q27.2 are found in the index:


Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references for the code Q27.2 are found in the tabular index:

  • Inclusion Terms:
    • Congenital malformation of renal artery NOS
    • Multiple renal arteries

Information for Patients


Birth Defects

A birth defect is a problem that happens while a baby is developing in the mother's body. Most birth defects happen during the first 3 months of pregnancy. One out of every 33 babies in the United States is born with a birth defect.

A birth defect may affect how the body looks, works or both. Some birth defects like cleft lip or neural tube defects are structural problems that can be easy to see. To find others, like heart defects, doctors use special tests. Birth defects can range from mild to severe. Causes can include

  • Genetics
  • Exposures to medicines or chemicals. For example, alcohol abuse can cause fetal alcohol syndrome.
  • Infections during pregnancy
  • Certain medicines. Before you get pregnant, talk to your health care provider about any medicines you take.
  • Not getting enough of certain nutrients. For example, not getting enough folic acid before and during pregnancy is a key factor in causing neural tube defects.

For most birth defects, the cause is unknown.

Health care providers can diagnose certain birth defects during pregnancy, with prenatal tests. That's why it important to get regular prenatal care. Other birth defects may not be found until after the baby is born. Sometimes the defect is obvious right away. Other times, the health care provider may not discover it until later in life.

Babies with birth defects often need special care and treatments. The treatments may include surgery, medicines, assistive devices, and therapies.

Centers for Disease Control and Prevention

  • Intersex (Medical Encyclopedia)

[Learn More]

Kidney Diseases

Also called: Renal disease

You have two kidneys, each about the size of your fist. They are near the middle of your back, just below the rib cage. Inside each kidney there are about a million tiny structures called nephrons. They filter your blood. They remove wastes and extra water, which become urine. The urine flows through tubes called ureters. It goes to your bladder, which stores the urine until you go to the bathroom.

Most kidney diseases attack the nephrons. This damage may leave kidneys unable to remove wastes. Causes can include genetic problems, injuries, or medicines. You have a higher risk of kidney disease if you have diabetes, high blood pressure, or a close family member with kidney disease. Chronic kidney disease damages the nephrons slowly over several years. Other kidney problems include

  • Cancer
  • Cysts
  • Stones
  • Infections

Your doctor can do blood and urine tests to check if you have kidney disease. If your kidneys fail, you will need dialysis or a kidney transplant.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

  • ACE inhibitors (Medical Encyclopedia)
  • Acute nephritic syndrome (Medical Encyclopedia)
  • Analgesic nephropathy (Medical Encyclopedia)
  • Atheroembolic renal disease (Medical Encyclopedia)
  • Bartter syndrome (Medical Encyclopedia)
  • Bilateral hydronephrosis (Medical Encyclopedia)
  • Congenital nephrotic syndrome (Medical Encyclopedia)
  • Distal renal tubular acidosis (Medical Encyclopedia)
  • Focal segmental glomerulosclerosis (Medical Encyclopedia)
  • Glomerulonephritis (Medical Encyclopedia)
  • Goodpasture syndrome (Medical Encyclopedia)
  • IgA nephropathy (Medical Encyclopedia)
  • Injury - kidney and ureter (Medical Encyclopedia)
  • Interstitial nephritis (Medical Encyclopedia)
  • Kidney removal (Medical Encyclopedia)
  • Kidney removal - discharge (Medical Encyclopedia)
  • Membranoproliferative GN I (Medical Encyclopedia)
  • Membranous nephropathy (Medical Encyclopedia)
  • Minimal change disease (Medical Encyclopedia)
  • Nephrocalcinosis (Medical Encyclopedia)
  • Nephrotic syndrome (Medical Encyclopedia)
  • Obstructive uropathy (Medical Encyclopedia)
  • Perirenal abscess (Medical Encyclopedia)
  • Proximal renal tubular acidosis (Medical Encyclopedia)
  • Reflux nephropathy (Medical Encyclopedia)
  • Renal papillary necrosis (Medical Encyclopedia)
  • Renal vein thrombosis (Medical Encyclopedia)
  • Unilateral hydronephrosis (Medical Encyclopedia)

[Learn More]

Vascular Diseases

The vascular system is the body's network of blood vessels. It includes the arteries, veins and capillaries that carry blood to and from the heart. Problems of the vascular system are common and can be serious. Arteries can become thick and stiff, a problem called atherosclerosis. Blood clots can clog vessels and block blood flow to the heart or brain. Weakened blood vessels can burst, causing bleeding inside the body.

You are more likely to have vascular disease as you get older. Other factors that make vascular disease more likely include

  • Family history of vascular or heart diseases
  • Pregnancy
  • Illness or injury
  • Long periods of sitting or standing still
  • Any condition that affects the heart and blood vessels, such as diabetes or high cholesterol
  • Smoking
  • Obesity

Losing weight, eating healthy foods, being active and not smoking can help vascular disease. Other treatments include medicines and surgery.

  • Aortic arch syndrome (Medical Encyclopedia)
  • Arterial embolism (Medical Encyclopedia)
  • Arteriogram (Medical Encyclopedia)
  • Cerebral angiography (Medical Encyclopedia)
  • Duplex ultrasound (Medical Encyclopedia)
  • Venous insufficiency (Medical Encyclopedia)
  • Venous ulcers -- self-care (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.

Index of Diseases and Injuries Definitions

  • And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
  • Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
  • NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
  • See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
  • See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
  • 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.