2027 ICD-10-CM Diagnosis Code Q39.2Congenital tracheo-esophageal fistula without atresia
ICD-10-CM Codes›Q00-Q99›Q38-Q45›Q39
- Billable — Valid for Submission
- MCC — Major Complication or Comorbidity
- POA Exempt
- Chronic Condition
Q39.2 is a billable ICD-10-CM diagnosis code for congenital tracheo-esophageal fistula without atresia. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 368 through 370. As a secondary diagnosis, it counts as a major complication or comorbidity (MCC) and places an inpatient stay in the highest severity level of its MS-DRG family. It does not count, however, when the principal diagnosis is one of 11 closely related codes. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Digestive congenital anomalies.
Code Identity
Code Classification
Present on Admission (POA)Billing
Q39.2 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Other congenital malformations of the digestive system (Q38-Q45).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Broncho-esophageal fistula
- Congenital broncho-esophageal fistula without atresia
- Congenital esophageal fistula
- Congenital esophagobronchial fistula
- Congenital esophagotracheal fistula
- Congenital stenosis of esophagus
- Congenital tracheal fistula
- Congenital tracheo-esophageal cleft
- Congenital tracheoesophageal fistula with esophageal stenosis
- H-type congenital tracheoesophageal fistula
- Tracheoesophageal fistula
- VACTERL syndrome with hydrocephalus
- Vertebral abnormalities, anal atresia, cardiac abnormalities, tracheo-esophageal fistula, renal anomalies, limb defects syndrome
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Q39.2: 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.
- Congenital tracheo-esophageal fistula NOS
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.
Notes
General instructions on how these codes are used.
- Codes from this chapter are not for use on maternal records
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
congenital Q39.2
congenital Q39.2
congenital Q39.2
congenital Q39.2
congenital Q39.2
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
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.
The full article covers:
- What are birth defects?
- What causes birth defects?
- Who is at risk of having a baby with birth defects?
- How are birth defects diagnosed?
- What are the treatments for birth defects?
- Can birth defects be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert Q39.2 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Q39.2Overview
What is the ICD-10 code for congenital tracheo-esophageal fistula without atresia?
The ICD-10-CM code for congenital tracheo-esophageal fistula without atresia is Q39.2 (sometimes written as Q392). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is Q39.2 (Congenital malformations of esophagus) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report congenital tracheo-esophageal fistula without atresia on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Q39.2 group to?
When congenital tracheo-esophageal fistula without atresia is the principal diagnosis on an inpatient stay, it groups to MS-DRG 369, 370, 368, with relative weights from 0.6741 to 1.6434 depending on complications. Higher weights mean higher Medicare reimbursement.
Is Q39.2 a CC or MCC?
CMS lists Q39.2 as an MCC (major complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it places the inpatient stay in the highest-weighted DRG of its severity family. It does not count when the principal diagnosis is one of the 11 closely related codes in its exclusion list.
Is Q39.2 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 congenital tracheo-esophageal fistula without atresia on inpatient claims. The code appears in the Other congenital malformations of the digestive system (Q38-Q45) range of the CMS exempt list.
