ICD-10-CM 2027 diagnosis code
Q20Congenital malformations of cardiac chambers and connections
Q20 is a header code, so it can't be reported by itself. Choose one of the 9 more specific codes beneath it.
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About Q20
Q20 is the ICD-10-CM diagnosis code for congenital malformations of cardiac chambers and connections. It belongs to block Q20-Q28 (congenital malformations of the circulatory system) and chapter 17 (congenital malformations, deformations, chromosomal abnormalities, and genetic disorders). It is a header code, so it can't be reported by itself; one of its 9 subcodes must be used instead.
To report this condition, pick the subcode that matches the documentation: Q20.0 (trunk), Q20.1 (ventricle), Q20.2 (ventricle), Q20.3 (connection), Q20.4 (ventricle), Q20.5 (connection), Q20.6 (appendages), Q20.8 (connections) and 1 more.
Don't report Q20 together with the conditions in its Excludes1 note: dextrocardia with situs inversus (Q89.3) and mirror-image atrial arrangement with situs inversus (Q89.3).
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Specific codes under Q20
- Q20.0Common arterial trunkBillable
- Q20.1Double outlet right ventricleBillable
- Q20.2Double outlet left ventricleBillable
- Q20.3Discordant ventriculoarterial connectionBillable
- Q20.4Double inlet ventricleBillable
- Q20.5Discordant atrioventricular connectionBillable
- Q20.6Isomerism of atrial appendagesBillable
- Q20.8Other congenital malformations of cardiac chambers and connectionsBillable
- Q20.9Congenital malformation of cardiac chambers and connections, unspecifiedBillable
Coding notes
Notes that apply from higher levels
Instructions written at a parent level also apply to Q20.
Broader instructions also apply from Chapter 17: Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders.
Codes whose notes reference Q20
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about Q20
Is Q20 billable?
- No. Q20 is a header code. Report one of its more specific subcodes instead.