ICD-10-CM Code Q27.8

Other specified congenital malformations of peripheral vascular system

Version 2021 Billable Code POA Exempt

Valid for Submission

Q27.8 is a billable code used to specify a medical diagnosis of other specified congenital malformations of peripheral vascular system. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code Q27.8 might also be used to specify conditions or terms like aberrant origin of left subclavian artery, aberrant retroesophageal brachiocephalic artery, aberrant retro-esophageal subclavian artery causing dysphagia, abnormal connection of hepatic vein to atrium, absent blood vessel in umbilical cord, absent venous duct, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:Q27.8
Short Description:Oth congenital malformations of peripheral vascular system
Long Description:Other specified congenital malformations of peripheral vascular system

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 are applicable to the code Q27.8:

Inclusion Terms

Inclusion Terms
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.
  • Absence of peripheral vascular system
  • Atresia of peripheral vascular system
  • Congenital aneurysm (peripheral)
  • Congenital stricture, artery
  • Congenital varix

Type 1 Excludes

Type 1 Excludes
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.
  • arteriovenous malformation Q27.3

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 Q27.8 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:

  • Aberrant origin of left subclavian artery
  • Aberrant retroesophageal brachiocephalic artery
  • Aberrant retro-esophageal subclavian artery causing dysphagia
  • Abnormal connection of hepatic vein to atrium
  • Absent blood vessel in umbilical cord
  • Absent venous duct
  • Agenesis of artery
  • Agenesis of internal carotid artery
  • Aneurysm osteoarthritis syndrome
  • Anomalous origin of left common carotid artery from brachiocephalic artery
  • Anomalous origin of right subclavian artery
  • Arterial embryological remnant
  • Atresia of systemic vein
  • CLAPO syndrome
  • Compression of esophagus
  • Congenital abnormality of hepatic vein
  • Congenital absence of artery
  • Congenital absence of azygos vein
  • Congenital absence of carotid artery
  • Congenital absence of innominate vein
  • Congenital absence of subclavian artery
  • Congenital absence of vein
  • Congenital aneurysm of systemic artery
  • Congenital anomaly of azygos vein
  • Congenital anomaly of blood vessel of limb
  • Congenital anomaly of blood vessel of limb
  • Congenital anomaly of blood vessel of lower limb
  • Congenital anomaly of blood vessel of lower limb
  • Congenital anomaly of left renal vein
  • Congenital anomaly of renal blood vessel
  • Congenital anomaly of renal blood vessel
  • Congenital anomaly of renal blood vessel
  • Congenital anomaly of right renal vein
  • Congenital arterial aneurysm
  • Congenital atresia of artery
  • Congenital atresia of vein
  • Congenital dilatation of carotid artery
  • Congenital dilatation of innominate artery
  • Congenital dilatation of subclavian artery
  • Congenital elongation of innominate artery
  • Congenital malposition of carotid artery
  • Congenital malposition of innominate artery
  • Congenital malposition of subclavian artery
  • Congenital occlusion of femoral vein
  • Congenital occlusion of iliac vein
  • Congenital peripheral aneurysm
  • Congenital phlebectasia
  • Congenital stenosis of carotid artery
  • Congenital stenosis of innominate artery
  • Congenital stenosis of subclavian artery
  • Congenital stricture of artery
  • Congenital stricture of retinal artery
  • Congenital transposition of azygos vein
  • Congenital varix
  • Congenital vascular anomaly of eye
  • Congenital vascular malformation due to inherited syndrome
  • Congenital vascular malformation of lip
  • Congenital vascular malformation of orbit
  • Deep vein aplasia
  • Deep vein hypoplasia
  • Distal origin of brachiocephalic artery with tracheal compression
  • Distal origin of brachiocephalic trunk
  • Distended umbilical veins
  • Double artery
  • Ductus venosus abnormality
  • Dysphagia lusoria
  • Ectopic artery
  • Ectopic artery
  • Glomuvenous malformation
  • Hepatic vein to left atrium and right atrium
  • Hepatic vein to left sided atrium
  • Hepatic vein to right sided atrium
  • Hepatoportal microvascular dysplasia
  • Hypoplasia of artery
  • Isolation of brachiocephalic trunk
  • Isolation of branch of aortic arch
  • Isolation of branch of aortic arch
  • Isolation of common carotid artery
  • Isolation of left subclavian artery
  • Isolation of right common carotid artery
  • Isolation of right subclavian artery
  • Isolation of subclavian artery
  • Lethal arteriopathy syndrome due to fibulin-4 deficiency
  • Levoatrial cardinal vein
  • Mixed vascular malformation
  • Multiple dysplasia syndrome
  • Multiple venous malformation of skin and mucous membrane
  • NEVADA syndrome
  • Obstruction of femoral vein
  • Obstruction of iliac vein
  • Obstruction of peripheral vein
  • Obstruction of peripheral vein
  • Occlusion of femoral vein
  • Occlusion of iliac vein
  • Peripheral congenital arteriovenous aneurysm
  • Persistence of primitive artery
  • Persistent descending vein
  • Persistent embryonic proatlantal intersegmental artery
  • Persistent omphalomesenteric artery
  • Persistent vertical vein
  • Retroaortic brachiocephalic vein
  • Retroesophageal subclavian artery
  • Separate hepatic venous and inferior caval venous connections to heart
  • Specific mixed vascular syndrome
  • Splenoportal vascular anomaly
  • Stenosis of brachiocephalic artery
  • Stenosis of retinal artery
  • Stricture of artery
  • Subclavian artery stenosis
  • Supernumerary azygos vein
  • Systemic to pulmonary collateral artery connecting with artery
  • Systemic to pulmonary collateral artery connecting with central pulmonary arteries
  • Systemic to pulmonary collateral artery connecting with isolated intraparenchymal pulmonary arteries
  • Systemic to pulmonary collateral artery connecting with tracheobronchial arteries
  • Systemic to pulmonary collateral artery contributing to dual lung supply
  • Systemic to pulmonary collateral artery from left brachiocephalic artery
  • Systemic to pulmonary collateral artery from left carotid artery
  • Systemic to pulmonary collateral artery from left renal artery
  • Systemic to pulmonary collateral artery from right brachiocephalic artery
  • Systemic to pulmonary collateral artery from right carotid artery
  • Systemic to pulmonary collateral artery from right renal artery
  • Systemic venovenous collateral vein
  • True congenital varicose veins
  • Varices of umbilical cord
  • Vascular compression of esophagus by aberrant artery
  • Vascular compression of esophagus by aberrant right subclavian artery arising from descending aorta
  • Vascular ring with right aortic arch and left arterial duct from anomalous retroesophageal brachiocephalic artery
  • Vein absent
  • Venous remnant
  • Venous remnant
  • Verrucous epidermal nevus
  • Weber's true diffuse phlebarteriectasis

Diagnostic Related Groups

The ICD-10 code Q27.8 is grouped in the following groups for version MS-DRG V38.0 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 10/01/2020 through 09/30/2021.

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

Present on Admission (POA)

Q27.8 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 Q27.8 to ICD-9

  • 747.69 - Oth spcf prph vscl anoml (Approximate Flag)

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 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
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

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]

Vascular Diseases

What are vascular diseases?

Your vascular system is your body's network of blood vessels. It includes your

  • Arteries, which carry oxygen-rich blood from your heart to your tissues and organs
  • Veins, which carry the blood and waste products back to your heart
  • Capillaries, which are tiny blood vessels that connect your small arteries to your small veins. The walls of the capillaries are thin and leaky, to allow for an exchange of materials between your tissues and blood.

Vascular diseases are conditions which affect your vascular system. They are common and can be serious. Some types include

  • Aneurysm - a bulge or "ballooning" in the wall of an artery
  • Atherosclerosis - a disease in which plaque builds up inside your arteries. Plaque is made up of fat, cholesterol, calcium, and other substances found in the blood.
  • Blood clots, including deep vein thrombosis and pulmonary embolism
  • Coronary artery disease and carotid artery disease, diseases that involve the narrowing or blockage of an artery. The cause is usually a buildup of plaque.
  • Raynaud's disease - a disorder that causes the blood vessels to narrow when you are cold or feeling stressed
  • Stroke - a serious condition that happens when blood flow to your brain stops.
  • Varicose veins - swollen, twisted veins that you can see just under the skin
  • Vasculitis - inflammation of the blood vessels

What causes vascular diseases?

The causes of vascular diseases depend on the specific disease. These causes include

  • Genetics
  • Heart diseases such as high cholesterol and high blood pressure
  • Infection
  • Injury
  • Medicines, including hormones

Sometimes the cause is unknown.

Who is at risk for vascular diseases?

The risk factors for vascular diseases can vary, depending on the specific disease. But some of the more common risk factors include

  • Age - your risk of some diseases goes up as you get older
  • Conditions that can affect the heart and blood vessels, such as diabetes or high cholesterol
  • Family history of vascular or heart diseases
  • Infection or injury that damages your veins
  • Lack of exercise
  • Obesity
  • Pregnancy
  • Sitting or standing still for long periods of time
  • Smoking

What are the symptoms of vascular diseases?

The symptoms for each disease are different.

How are vascular diseases diagnosed?

To make a diagnosis, your health care provider will do a physical exam and ask about your symptoms and medical history. You may have imaging tests and/or blood tests.

How are vascular diseases treated?

Which treatment you get depends on which vascular disease you have and how severe it is. Types of treatments for vascular diseases include

  • Lifestyle changes, such as eating a heart-healthy diet and getting more exercise
  • Medicines, such as blood pressure medicines, blood thinners, cholesterol medicines, and clot-dissolving drugs. In some cases, providers use a catheter to send medicine directly to a blood vessel.
  • Non-surgical procedures, such as angioplasty, stenting, and vein ablation
  • Surgery

Can vascular diseases be prevented?

There are steps you can take to help prevent vascular diseases:

  • Make healthy lifestyle changes, such as eating a heart-healthy diet and getting more exercise
  • Don't smoke. If you are already a smoker, talk to your health care provider for help in finding the best way for you to quit.
  • Keep your blood pressure and cholesterol in check
  • If you have diabetes, control your blood sugar
  • Try not to sit or stand for up long periods of time. If you do need to sit all day, get up and move around every hour or so. If you traveling on a long trip, you can also wear compression stockings and regularly stretch your legs.
  • 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]