Valid for Submission
Q83.2 is a billable code used to specify a medical diagnosis of absent nipple. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Q83.2 might also be used to specify conditions or terms like congenital abnormality of nipple or congenital absence of breast or congenital absence of nipple. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
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 Q83.2 are found in the index:
- - Absence (of) (organ or part) (complete or partial)
- - nipple (s) (with breast (s)) (acquired) - Z90.1
- - congenital - Q83.2
- - nipple (s) (with breast (s)) (acquired) - Z90.1
Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Congenital abnormality of nipple
- Congenital absence of breast
- Congenital absence of nipple
Diagnostic Related Groups
The ICD-10 code Q83.2 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 10/01/2020 through 09/30/2020.
- 597 - MALIGNANT BREAST DISORDERS WITH MCC
- 598 - MALIGNANT BREAST DISORDERS WITH CC
- 599 - MALIGNANT BREAST DISORDERS WITHOUT CC/MCC
- 600 - NON-MALIGNANT BREAST DISORDERS WITH CC/MCC
- 601 - NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC
Present on Admission (POA)
Q83.2 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.
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 Q83.2 to ICD-9
- 757.6 - Cong breast anomaly NEC (Approximate Flag)
Code Classification
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