2026 ICD-10-CM Diagnosis Code Q83.9Congenital malformation of breast, unspecified

ICD-10-CM Codes›Q00-Q99›Q80-Q89›Q83

ICD-10-CM Q83.9
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Q83.9 is a billable ICD-10-CM diagnosis code for congenital malformation of breast, unspecified. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 600 through 601. The code is exempt from POA reporting. Coders also document this condition as congenital abnormality of nipple. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified congenital anomalies.

Code Identity

ICD-10-CM Code
Q83.9
Billable Status
Yes — Valid for Submission
Code Describes
Congenital malformation of breast, unspecified
Short Description
Congenital malformation of breast, unspecified
Same as the full description in the CMS dataset.
Parent Code
Q83
Congenital malformations of breast

Code Classification

ChapterQ00-Q99Congenital malformations, deformations and chromosomal abnormalities
SectionQ80-Q89Other congenital malformations
CategoryQ83Congenital malformations of breast
This CodeQ83.9Congenital malformation of breast, unspecified

Present on Admission (POA)Billing

Q83.9 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Congenital abnormality of nipple
  • Congenital absence of breast
  • Congenital absence of nipple
  • Congenital anomaly of breast
  • Scalp, ear, nipple syndrome
  • Ulnar mammary syndrome

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Anomaly, anomalous(congenital) (unspecified type)
      • breast
    • Anomaly, anomalous(congenital) (unspecified type)
      • nipple
    • Deformity
      • breast (acquired)
        • congenital
    • Deformity
      • nipple (congenital)
    • Malformation(congenital)
      • breast

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MAL010
Other specified and unspecified congenital anomalies
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Breast Diseases

Breast diseases include various conditions and changes in your breast. Most women experience breast changes at some time. Your age, hormone levels, and medicines you take may cause lumps, bumps, and discharges of fluids that are not breast milk.

The full article covers:

  • What are breast diseases?
  • What are the symptoms of breast disease?
  • How are breast diseases diagnosed?
  • What are the treatments for breast disease?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Q83.9 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
757.6 Cong breast anomaly NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Q83.9Overview

Is Q83.9 (Congenital malformations of breast) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report congenital malformation of breast, unspecified on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does Q83.9 group to?

When congenital malformation of breast, unspecified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 600, 601, with relative weights from 0.6050 to 1.0416 depending on complications. Higher weights mean higher Medicare reimbursement.

Is Q83.9 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 malformation of breast, unspecified on inpatient claims.

What is the ICD-9 equivalent of Q83.9?

Under the General Equivalence Mappings, congenital malformation of breast, unspecified converts to ICD-9-CM 757.6 (cong breast anomaly NEC). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.