2022 ICD-10-CM Code Q83.8
Other congenital malformations of breast
Code Classification
Q83.8 is a billable diagnosis code used to specify a medical diagnosis of other congenital malformations of breast. The code Q83.8 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code Q83.8 might also be used to specify conditions or terms like bilateral congenital breast absence, breasts asymmetrical, congenital abnormality of nipple, congenital abnormality of nipple, congenital abnormality of nipple , congenital abnormality of nipple, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
Entries in the Index to Diseases and Injuries with references to Q83.8
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 Q83.8 are found in the index:
- - Aberrant (congenital) - See Also: Malposition, congenital;
- - breast - Q83.8
- - Absence (of) (organ or part) (complete or partial)
- - breast (s) (and nipple (s)) (acquired) - Z90.1
- - congenital - Q83.8
- - breast (s) (and nipple (s)) (acquired) - Z90.1
- - Agenesis
- - breast (with nipple present) - Q83.8
- - Amastia (with nipple present) - Q83.8
- - Ectopic, ectopia (congenital)
- - breast tissue - Q83.8
- - Hypoplasia, hypoplastic
- - areola, congenital - Q83.8
- - mammary (areola), congenital - Q83.8
- - Inversion
- - nipple - N64.59
- - congenital - Q83.8
- - nipple - N64.59
- - Malformation (congenital) - See Also: Anomaly;
- - breast - Q83.9
- - specified type NEC - Q83.8
- - breast - Q83.9
- - Malposition
- - congenital
- - breast - Q83.8
- - congenital
- - Retraction
- - nipple - N64.53
- - congenital - Q83.8
- - nipple - N64.53
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Bilateral congenital breast absence
- Breasts asymmetrical
- Congenital abnormality of nipple
- Congenital abnormality of nipple
- Congenital abnormality of nipple
- Congenital abnormality of nipple
- Congenital absence of breast
- Congenital asymmetry of breasts
- Congenital hypoplasia of breast
- Congenital hypoplasia of breast
- Congenital hypoplasia of breast
- Congenital inversion of nipple
- Congenital retraction of nipple
- Ectopic breast tissue
- Hypoplasia of nipple
- Hypoplasia of nipple
- Inversion of nipple
- Joint contracture, webbed neck, micrognathia, hypoplastic nipple syndrome
- Limb mammary syndrome
- Neck webbing
- Nipple deformity
- Symmetry of breasts - finding
- Tubular breast
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code Q83.8 is grouped in the following groups for version MS-DRG V39.0 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 10/01/2021 through 09/30/2022.
| MS-DRG | MS-DRG Title | MCD | Relative Weight |
|---|---|---|---|
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | 09 | 0.9957 |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | 09 | 0.6876 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Present on Admission (POA)
Q83.8 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 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 Q83.8 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code Q83.8 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 757.6 - Cong breast anomaly NEC (Approximate Flag)
Information for Patients
Breast Diseases
Most women experience breast changes at some time. Your age, hormone levels, and medicines you take may cause lumps, bumps, and discharges (fluids that are not breast milk).
If you have a breast lump, pain, discharge or skin irritation, see your health care provider. Minor and serious breast problems have similar symptoms. Although many women fear cancer, most breast problems are not cancer.
Some common breast changes are
- Fibrocystic breast changes - lumpiness, thickening and swelling, often just before a woman's period
- Cysts - fluid-filled lumps
- Fibroadenomas - solid, round, rubbery lumps that move easily when pushed, occurring most in younger women
- Intraductal papillomas - growths similar to warts near the nipple
- Blocked milk ducts
- Milk production when a woman is not breastfeeding
NIH: National Cancer Institute
[Learn More in MedlinePlus]
Related Codes
| ICD Code | Description | Valid for Submission |
|---|---|---|
| Q83 | Congenital malformations of breast | NON-BILLABLE CODE |
| Q83.0 | Congenital absence of breast with absent nipple | BILLABLE CODE |
| Q83.1 | Accessory breast | BILLABLE CODE |
| Q83.2 | Absent nipple | BILLABLE CODE |
| Q83.3 | Accessory nipple | BILLABLE CODE |
| Q83.9 | Congenital malformation of breast, unspecified | BILLABLE CODE |
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)