ICD-10-CM Code Q28.8

Other specified congenital malformations of circulatory system

Version 2020 Billable Code POA Exempt

Valid for Submission

Q28.8 is a billable code used to specify a medical diagnosis of other specified congenital malformations of circulatory system. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Q28.8 might also be used to specify conditions or terms like abnormality of arterial ligament, absent venous duct, absent venous duct, absent venous duct, absent venous duct with direct connection of umbilical vein to inferior caval vein, absent venous duct with direct connection of umbilical vein to renal vein, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:Q28.8
Short Description:Oth congenital malformations of circulatory system
Long Description:Other specified congenital malformations of circulatory 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 Q28.8:

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.
  • Congenital aneurysm, specified site NEC
  • Spinal vessel anomaly

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 Q28.8 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:

  • Abnormality of arterial ligament
  • Absent venous duct
  • Absent venous duct
  • Absent venous duct
  • Absent venous duct with direct connection of umbilical vein to inferior caval vein
  • Absent venous duct with direct connection of umbilical vein to renal vein
  • Absent venous duct with direct connection of umbilical vein to right atrium
  • Anomalous insertion of arterial ligament
  • Anomalous insertion of arterial ligament into distal left pulmonary artery
  • Anomalous insertion of arterial ligament into pulmonary trunk
  • Anomalous insertion of arterial ligament into right pulmonary artery
  • Anomalous origin of arterial ligament
  • Anomalous origin of arterial ligament from aortic arch
  • Anomalous origin of arterial ligament from aortic diverticulum
  • Anomalous origin of arterial ligament from ascending aorta
  • Anomalous origin of arterial ligament from distal descending aorta
  • Anomalous origin of arterial ligament from left brachiocephalic artery
  • Anomalous origin of arterial ligament from left carotid artery
  • Anomalous origin of arterial ligament from left subclavian artery
  • Anomalous origin of arterial ligament from retroesophageal aortic diverticulum
  • Anomalous origin of arterial ligament from right aortic arch
  • Anomalous origin of arterial ligament from right brachiocephalic artery
  • Anomalous origin of arterial ligament from right carotid artery
  • Anomalous origin of arterial ligament from right subclavian artery
  • Anomalous origin of arterial ligament from unknown site
  • Anomalous origin of right arterial ligament from left aortic arch
  • Anomalous origin of right arterial ligament from right aortic arch
  • Atresia of aortic arch with fibrous cord
  • Atresia of aortic arch with fibrous cord
  • Atresia of aortic arch with fibrous cord between left common carotid artery and right common carotid artery
  • Atresia of aortic arch with fibrous cord between subclavian artery and common carotid artery
  • Cardiovascular abnormality due to anomalous origin of arterial duct
  • Cardiovascular abnormality due to anomalous origin of coronary artery from pulmonary artery
  • Cardiovascular abnormality due to anomalous origin of coronary artery orifice
  • Cardiovascular abnormality due to bilateral arterial ducts
  • Closed ductus venosus
  • Congenital absence of artery
  • Congenital absence of ductus arteriosus
  • Congenital anomaly of cardiovascular structure of trunk
  • Congenital anomaly of great vessel
  • Congenital anomaly of lymphatic structure of trunk
  • Congenital cardiovascular disorders during pregnancy, childbirth and the puerperium
  • Ductus venosus abnormality
  • Ductus venosus abnormality
  • Ductus venosus abnormality
  • Ductus venosus abnormality
  • Dural arteriovenous fistula
  • Hypoplasia of spinal vessel
  • Patent ductus venosus
  • Pulmonary valve agenesis, tetralogy of Fallot, absence of ductus arteriosus syndrome
  • Right arterial ligament
  • Tetralogy of Fallot
  • Type I arteriovenous malformation of spinal cord
  • Type II arteriovenous malformation of spinal cord
  • Type III arteriovenous malformation of spinal cord
  • Type IV arteriovenous malformation of spinal cord
  • Venous anomaly of umbilical cord
  • Venous-lymphatic malformation

Diagnostic Related Groups

The ICD-10 code Q28.8 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.

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

Present on Admission (POA)

Q28.8 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 Q28.8 to ICD-9

  • 747.89 - Circulatory anomaly NEC (Approximate Flag)

Code Classification

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

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


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


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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.

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