Valid for Submission
Q89.3 is a billable diagnosis code used to specify a medical diagnosis of situs inversus. The code Q89.3 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code Q89.3 might also be used to specify conditions or terms like agnathia, holoprosencephaly, situs inversus syndrome, complete situs inversus with dextrocardia, congenital malposition of heart, dextrocardia, dextrocardia/situs inversus finding , immotile cilia syndrome, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Q89.3:
Inclusion TermsInclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Dextrocardia with situs inversus
- Mirror-image atrial arrangement with situs inversus
- Situs inversus or transversus abdominalis
- Situs inversus or transversus thoracis
- Transposition of abdominal viscera
- Transposition of thoracic viscera
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- dextrocardia NOS Q24.0
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 Q89.3 are found in the index:
- - Dextrocardia (true) - Q24.0
- - Malposition
- - Syndrome - See Also: Disease;
- - Transposition (congenital) - See Also: Malposition, congenital;
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Agnathia, holoprosencephaly, situs inversus syndrome
- Complete situs inversus with dextrocardia
- Congenital malposition of heart
- Dextrocardia/situs inversus finding
- Immotile cilia syndrome
- Kartagener syndrome
- Laterality sequence
- Regional congenital anomaly
- Situs inversus abdominalis
- Situs inversus thoracis
- Situs inversus viscerum
- Situs inversus with levocardia
- LEVOCARDIA-. congenital abnormalities in which the heart is in the normal position levocardia in the left side of the chest but some or all of the thorax or abdomen viscera are transposed laterally situs inversus. it is also known as situs inversus with levocardia or isolated levocardia. this condition is often associated with severe heart defects and splenic abnormalities such as asplenia or polysplenia.
- SITUS INVERSUS-. a congenital abnormality in which organs in the thorax and the abdomen are opposite to their normal positions situs solitus due to lateral transposition. normally the stomach and spleen are on the left liver on the right the three lobed right lung is on the right and the two lobed left lung on the left. situs inversus has a familial pattern and has been associated with a number of genes related to microtubule associated proteins.
Diagnostic Related Groups - MS-DRG Mapping
Present on Admission (POA)
Convert Q89.3 to ICD-9 Code
Information for Patients
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.
A birth defect may affect how the body looks, works or both. Some birth defects like cleft lip or neural tube defects are structural problems that can be easy to see. To find others, like heart defects, doctors use special tests. Birth defects can range from mild to severe. Causes can include
- Exposures to medicines or chemicals. For example, alcohol abuse can cause fetal alcohol syndrome.
- Infections during pregnancy
- Certain medicines. Before you get pregnant, talk to your health care provider about any medicines you take.
- Not getting enough of certain nutrients. For example, not getting enough folic acid before and during pregnancy is a key factor in causing neural tube defects.
For most birth defects, the cause is unknown.
Health care providers can diagnose certain birth defects during pregnancy, with prenatal tests. That's why it important to get regular prenatal care. Other birth defects may not be found until after the baby is born. Sometimes the defect is obvious right away. Other times, the health care provider may not discover it until later in life.
Babies with birth defects often need special care and treatments. The treatments may include surgery, medicines, assistive devices, and therapies.
Centers for Disease Control and Prevention
- Intersex (Medical Encyclopedia)
Heterotaxy syndrome Heterotaxy syndrome is a condition in which the internal organs are abnormally arranged in the chest and abdomen. The term "heterotaxy" is from the Greek words "heteros," meaning "other than," and "taxis," meaning "arrangement." Individuals with this condition have complex birth defects affecting the heart, lungs, liver, spleen, intestines, and other organs.In the normal body, most of the organs in the chest and abdomen have a particular location on the right or left side. For example, the heart, spleen, and pancreas are on the left side of the body, and most of the liver is on the right. This normal arrangement of the organs is known as "situs solitus." Rarely, the orientation of the internal organs is completely flipped from right to left, a situation known as "situs inversus." This mirror-image orientation usually does not cause any health problems, unless it occurs as part of a syndrome affecting other parts of the body. Heterotaxy syndrome is an arrangement of internal organs somewhere between situs solitus and situs inversus; this condition is also known as "situs ambiguus." Unlike situs inversus, the abnormal arrangement of organs in heterotaxy syndrome often causes serious health problems.Heterotaxy syndrome can alter the structure of the heart, including the attachment of the large blood vessels that carry blood to and from the rest of the body. It can also affect the structure of the lungs, such as the number of lobes in each lung and the length of the tubes (called bronchi) that lead from the windpipe to the lungs. In the abdomen, the condition can cause a person to have no spleen (asplenia) or multiple small, poorly functioning spleens (polysplenia). The liver may lie across the middle of the body instead of being in its normal position to the right of the stomach. Some affected individuals also have intestinal malrotation, which is an abnormal twisting of the intestines that occurs in the early stages of development before birth.Depending on the organs involved, signs and symptoms of heterotaxy syndrome can include a bluish appearance of the skin or lips (cyanosis, which is due to a shortage of oxygen), breathing difficulties, an increased risk of infections, and problems with digesting food. The most serious complications are generally caused by critical congenital heart disease, a group of complex heart defects that are present from birth. Biliary atresia, a problem with the bile ducts in the liver, can also cause severe health problems in infancy.The severity of heterotaxy syndrome varies depending on the specific abnormalities involved. Some affected individuals have only mild health problems related to the condition. At the other end of the spectrum, heterotaxy syndrome can be life-threatening in infancy or childhood, even with treatment.