ICD-10-CM 2027 diagnosis code
Q21Congenital malformations of cardiac septa
Q21 is a header code, so it can't be reported by itself. Choose one of the 7 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 Q21
Q21 is the ICD-10-CM diagnosis code for congenital malformations of cardiac septa. 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 7 subcodes must be used instead.
To report this condition, pick the subcode that matches the documentation: Q21.0 (defect), Q21.1 (defect), Q21.2 (defect), Q21.3 (fallot), Q21.4 (defect), Q21.8 (septa) and Q21.9 (unspecified).
Don't report Q21 together with the conditions in its Excludes1 note: acquired cardiac septal defect (I51.0).
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 Q21
- Q21.0Ventricular septal defectBillable
- Q21.1Atrial septal defect
- Q21.10Atrial septal defect, unspecifiedBillable
- Q21.11Secundum atrial septal defectBillable
- Q21.12Patent foramen ovaleBillable
- Q21.13Coronary sinus atrial septal defectBillable
- Q21.14Superior sinus venosus atrial septal defectBillable
- Q21.15Inferior sinus venosus atrial septal defectBillable
- Q21.16Sinus venosus atrial septal defect, unspecifiedBillable
- Q21.19Other specified atrial septal defectBillable
- Q21.2Atrioventricular septal defect
- Q21.3Tetralogy of FallotBillable
- Q21.4Aortopulmonary septal defectBillable
- Q21.8Other congenital malformations of cardiac septaBillable
- Q21.9Congenital malformation of cardiac septum, unspecifiedBillable
Coding notes
- acquired cardiac septal defect (I51.0)
Notes that apply from higher levels
Instructions written at a parent level also apply to Q21.
Broader instructions also apply from Chapter 17: Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders.
Codes whose notes reference Q21
- Q87.85Code also
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 Q21
Is Q21 billable?
- No. Q21 is a header code. Report one of its more specific subcodes instead.