Q04 — Other congenital malformations of brain
Is Q04 billable?
No — Q04 is a non-billable header code. Q04 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 9 billable codes beneath Q04.
Billable codes under this header
- Q04.0Congenital malformations of corpus callosum
- Q04.1Arhinencephaly
- Q04.2Holoprosencephaly
- Q04.3Other reduction deformities of brain
- Q04.4Septo-optic dysplasia of brain
- Q04.5Megalencephaly
- Q04.6Congenital cerebral cysts
- Q04.8Other specified congenital malformations of brain
- Q04.9Congenital malformation of brain, unspecified
Q04 at a glance
| Code | Q04 |
|---|---|
| Description | Other congenital malformations of brain |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with Q04 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 17
The conditions below are not part of Q04, but a patient may have both at the same time. When documentation supports it, Q04 and the excluded code may both be reported.
- inborn errors of metabolism (E70-E88)
What codes fall under Q04? (9)
- Q04.0Congenital malformations of corpus callosum
- Q04.1Arhinencephaly
- Q04.2Holoprosencephaly
- Q04.3Other reduction deformities of brain
- Q04.4Septo-optic dysplasia of brain
- Q04.5Megalencephaly
- Q04.6Congenital cerebral cysts
- Q04.8Other specified congenital malformations of brain
- Q04.9Congenital malformation of brain, unspecified
How long has Q04 existed?
Q04 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with Q04?
ICD-10-CM declares these codes mutually exclusive with Q04 — exactly one of each pair can be correct for a given encounter.