ICD-10 code for intestine malformation

The ICD-10-CM code for intestine malformation is Q43.9 (Congenital malformation of intestine, unspecified). The official index lists 1 more specific code, so check the documentation for details such as type, cause, site or severity before settling on Q43.9.

Within Q43, choose Q43.9 (Congenital malformation of intestine, unspecified) only when documentation doesn't support a more specific option: Meckel's diverticulum (displaced) (hypertrophic) (Q43.0), Hirschsprung's disease (Q43.1), other congenital functional disorders of colon (Q43.2), congenital malformations of intestinal fixation (Q43.3), duplication of intestine (Q43.4), ectopic anus (Q43.5), congenital fistula of rectum and anus (Q43.6), persistent cloaca (Q43.7) and 1 more.

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 393 (Other Digestive System Diagnoses with MCC, relative weight 1.5881), DRG 394 (Other Digestive System Diagnoses with CC, relative weight 0.9228) and DRG 395 (Other Digestive System Diagnoses without CC/MCC, relative weight 0.6382), in MDC 06 (Diseases and Disorders of the Digestive 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.