ICDcodes.org
FY2027

Q22.1 — Congenital pulmonary valve stenosis

BillableCC

Is Q22.1 billable?

Yes — Q22.1 is billable for FY2027. Q22.1 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Q22.1 may be submitted for encounters from October 1, 2026 through September 30, 2027.

Q22.1 at a glance

CodeQ22.1
DescriptionCongenital pulmonary valve stenosis
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does Q22.1 group to?

Q22.1 sits in MDC 05 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 306Cardiac Congenital and Valvular Disorders with MCCmedical
  • 307Cardiac Congenital and Valvular Disorders without MCCmedical

As a secondary diagnosis, Q22.1 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is Q22.1 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to Q22.1. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Fusion, fused › pulmonic cusps (congenital)
  • Stenosis, stenotic › pulmonic (cicatricial)
  • Fusion, fused › cusps, heart valve NEC › pulmonary (congenital)
  • Anomaly, anomalous › pulmonary › valve › stenosis (congenital) (unspecified type)
  • Stenosis, stenotic › pulmonary › valve › congenital (cicatricial)
  • Stenosis, stenotic › valve › congenital › pulmonary (cicatricial)
  • Stricture › heart › valve › pulmonary
  • Stricture › pulmonary, pulmonic › valve › congenital
  • Stricture › valve › congenital › pulmonary
  • Anomaly, anomalous › heart › valve NEC › pulmonary › stenosis (congenital) (unspecified type)

Excludes2 — not included here — inherited from Chapter 17

The conditions below are not part of Q22.1, but a patient may have both at the same time. When documentation supports it, Q22.1 and the excluded code may both be reported.

  • inborn errors of metabolism (E70-E88)

How long has Q22.1 existed?

Q22.1 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 Q22.1?

ICD-10-CM declares these codes mutually exclusive with Q22.1 — exactly one of each pair can be correct for a given encounter.

What other codes are in the Q22 family? (8)