ICD-10-CM 2027 diagnosis code
Q22.3Other congenital malformations of pulmonary valve
Q22.3 is a valid, billable ICD-10-CM code for other congenital malformations of pulmonary valve. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.
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 Q22.3
Q22.3 is the ICD-10-CM diagnosis code for other congenital malformations of pulmonary valve. It belongs to category Q22 (congenital malformations of pulmonary and tricuspid valves), block Q20-Q28 (congenital malformations of the circulatory system) and chapter 17 (congenital malformations, deformations, chromosomal abnormalities, and genetic disorders). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
Within Q22, choose Q22.3 (Other congenital malformations of pulmonary valve) only when documentation doesn't support a more specific option: pulmonary valve atresia (Q22.0), congenital pulmonary valve stenosis (Q22.1), congenital pulmonary valve insufficiency (Q22.2), congenital tricuspid stenosis (Q22.4), Ebstein's anomaly (Q22.5), Hypoplastic right heart syndrome (Q22.6), other congenital malformations of tricuspid valve (Q22.8) and congenital malformation of tricuspid valve, unspecified (Q22.9).
As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.
In MS-DRG v44.0, it is part of the grouping logic for DRG 306 (Cardiac Congenital and Valvular Disorders with MCC, relative weight 1.546) and DRG 307 (Cardiac Congenital and Valvular Disorders without MCC, relative weight 0.9148), in MDC 05 (Diseases and Disorders of the Circulatory System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as 746.00 (congenital pulmonary valve anomaly, unspecified).
Coding notes
- Congenital malformation of pulmonary valve NOS
- Supernumerary cusps of pulmonary valve
Notes that apply from higher levels
Instructions written at a parent level also apply to Q22.3.
Broader instructions also apply from Chapter 17: Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders.
Alphabetic index entries
20 entriesTerms in the official ICD-10-CM index that lead to Q22.3.
- Accessory (congenital) › cusp (s), heart valve NEC › pulmonary
- Accessory (congenital) › heart › valve NEC › pulmonary
- Accessory (congenital) › valve, heart NEC › pulmonary
- Anomaly, anomalous (congenital) (unspecified type) › cardiac › valve NEC › pulmonary
- Anomaly, anomalous (congenital) (unspecified type) › heart › valve NEC › pulmonary
- Anomaly, anomalous (congenital) (unspecified type) › pulmonary › valve
- Anomaly, anomalous (congenital) (unspecified type) › pulmonary › valve › specified type NEC
- Anomaly, anomalous (congenital) (unspecified type) › valve (heart) NEC › pulmonary
- Development › defective, congenital › valve › pulmonary
- Dilatation › cardiac (acute) (chronic) › congenital › valve NEC › pulmonary
- Dilatation › pulmonary › valve, congenital
- Disease, diseased › heart (organic) › valve, valvular (obstructive) (regurgitant) › congenital NEC › pulmonary
- Fallot's › triad or trilogy
- Fenestration, fenestrated › cusps, heart valve NEC › pulmonary
- Fenestration, fenestrated › pulmonic cusps
- Imperfect › closure (congenital) › cusps, heart valve NEC › pulmonary
- Incompetency, incompetent, incompetence › pulmonary valve (heart) › congenital
- Malformation (congenital) › pulmonary › valve
- Supernumerary (congenital) › cusps, heart valve NEC › pulmonary
- Supernumerary (congenital) › pulmonary, pulmonic cusps
Codes whose notes reference Q22.3
- I37Excludes1
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 05 · Diseases and Disorders of the Circulatory System
ICD-9-CM equivalent
Converter →- 746.00Congenital pulmonary valve anomaly, unspecifiedapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
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 Q22.3
Is Q22.3 billable?
- Yes. Q22.3 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can Q22.3 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict Q22.3 as a principal diagnosis.
Is Q22.3 a CC or MCC?
- Q22.3 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.
What DRG does Q22.3 group to?
- Q22.3 is used in the MS-DRG v44.0 logic for MS-DRG 306 (Cardiac Congenital and Valvular Disorders with MCC) and MS-DRG 307 (Cardiac Congenital and Valvular Disorders without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.
What is the ICD-9 code for Q22.3?
- The CMS General Equivalence Mappings map Q22.3 to ICD-9-CM 746.00.