ICD-10-CM Code Q39.5

Congenital dilatation of esophagus

Version 2020 Billable Code POA Exempt

Valid for Submission

Q39.5 is a billable code used to specify a medical diagnosis of congenital dilatation of esophagus. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Q39.5 might also be used to specify conditions or terms like achalasia microcephaly syndrome, achalasia of esophagus, achalasia of esophagus, alacrima, complete deafness, congenital achalasia of esophagus, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:	Q39.5
Short Description:	Congenital dilatation of esophagus
Long Description:	Congenital dilatation of esophagus

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 Q39.5:

Inclusion Terms

Congenital cardiospasm

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 Q39.5 are found in the index:

- Achalasia (cardia) (esophagus) - K22.0
- - congenital - Q39.5

- Cardiospasm (esophagus) (reflex) (stomach) - K22.0
- - congenital - Q39.5
  - - with megaesophagus - Q39.5

- Dilatation
- - esophagus - K22.8
  - - congenital - Q39.5

- Giant
- - esophagus, congenital - Q39.5

- Megaesophagus (functional) - K22.0
- - congenital - Q39.5

- Megaloesophagus (functional) - K22.0
- - congenital - Q39.5

Synonyms

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

Achalasia microcephaly syndrome
Achalasia of esophagus
Achalasia of esophagus
Alacrima
Complete deafness
Congenital achalasia of esophagus
Congenital achalasia of esophagus
Congenital anomaly of lacrimal gland
Congenital cardiospasm
Congenital deafness
Congenital dilatation of esophagus
Deafness, vitiligo, achalasia syndrome
Dilatation of esophagus
Giant esophagus
Intellectual disability, alacrima, achalasia syndrome

Diagnostic Related Groups

The ICD-10 code Q39.5 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.

368 - MAJOR ESOPHAGEAL DISORDERS WITH MCC
369 - MAJOR ESOPHAGEAL DISORDERS WITH CC
370 - MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC

Present on Admission (POA)

Q39.5 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 Code	POA Reason for Code	CMS will pay the CC/MCC DRG?
Y	Diagnosis was present at time of inpatient admission.	YES
N	Diagnosis was not present at time of inpatient admission.	NO
U	Documentation insufficient to determine if the condition was present at the time of inpatient admission.	NO
W	Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.	YES
1	Unreported/Not used - Exempt from POA reporting.	NO

Convert Q39.5 to ICD-9

750.4 - Esophageal anomaly NEC (Approximate Flag)
750.7 - Gastric anomaly NEC (Approximate Flag)

Code Classification

Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- Other congenital malformations of the digestive system (Q38-Q45)
  - Congenital malformations of esophagus (Q39)

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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Esophagus Disorders

The esophagus is the muscular tube that carries food and liquids from your mouth to the stomach. You may not be aware of your esophagus until you swallow something too large, too hot, or too cold. You may also notice it when something is wrong. You may feel pain or have trouble swallowing.

The most common problem with the esophagus is GERD (gastroesophageal reflux disease). With GERD, a muscle at the end of your esophagus does not close properly. This allows stomach contents to leak back, or reflux, into the esophagus and irritate it. Over time, GERD can cause damage to the esophagus.

Other problems include heartburn, cancer, and eosinophilic esophagitis. Doctors may use various tests to make a diagnosis. These include imaging tests, an upper endoscopy, and a biopsy.

Treatment depends on the problem. Some problems get better with over-the-counter medicines or changes in diet. Others may need prescription medicines or surgery.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

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