2027 ICD-10-CM Diagnosis Code Q79.2Exomphalos
ICD-10-CM Codes›Q00-Q99›Q65-Q79›Q79
- Billable — Valid for Submission
- MCC — Major Complication or Comorbidity
- POA Exempt
- Chronic Condition
Q79.2 is a billable ICD-10-CM diagnosis code for exomphalos. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 393 through 395, 791, 793. 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 5 closely related codes. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Musculoskeletal congenital conditions.
Code Identity
Code Classification
Present on Admission (POA)Billing
Q79.2 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Congenital malformations and deformations of the musculoskeletal system (Q65-Q79).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Congenital omphalocele
- Congenital omphalocele, diaphragmatic hernia, cardiovascular anomalies, radial ray defect syndrome
- Congenital umbilical hernia
- Donnai-Barrow syndrome
- Familial omphalocele syndrome with facial dysmorphism
- Hepatomphalocele
- Irreducible umbilical hernia
- Lethal omphalocele with cleft palate syndrome
- Obstructed umbilical hernia
- Omphalocele - irreducible
- Omphalocele with obstruction
- Shprintzen Goldberg omphalocele syndrome
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Q79.2: its own notes plus those printed at Q79 and 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.
- Omphalocele
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- umbilical hernia (K42.-)
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.
- congenital (sternomastoid) torticollis (Q68.0)
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.
Referenced in Other NotesGuidance
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Exomphalos Q79.2
Omphalocele Q79.2
Sarcoepiplomphalocele Q79.2
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Omphalocele
a congenital defect with major fissure in the abdominal wall at the umbilicus resulting in the extrusion of viscera through the umbilicus. unlike gastroschisis, omphalocele is covered with peritoneum but without overlying skin.
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 Q79.2 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Q79.2Overview
What is the ICD-10 code for exomphalos?
The ICD-10-CM code for exomphalos is Q79.2 (sometimes written as Q792). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is Q79.2 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report exomphalos on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Q79.2 group to?
When exomphalos is the principal diagnosis on an inpatient stay, it groups to MS-DRG 793, 791, 394, 395, 393, with relative weights from 0.6379 to 4.2192 depending on complications. Higher weights mean higher Medicare reimbursement.
Is Q79.2 a CC or MCC?
CMS lists Q79.2 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 5 closely related codes in its exclusion list.
Is Q79.2 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 exomphalos on inpatient claims. The code appears in the Congenital malformations and deformations of the musculoskeletal system (Q65-Q79) range of the CMS exempt list.