FETAL ICD-10 CODES QUICK REFERENCE GUIDE
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1 FETAL ICD-10 CODES QUICK REFERENCE GUIDE
2 Page CONTENTS 1 Cardiac Anomalies 3 Chromosome Abnormalities 4 Central Nervous System Anomalies 5 Extremity Anomalies 6 Face / Neck Anomalies 7 Gastrointestinal Anomalies 7 Pulmonary Anomalies 7 Renal Anomalies 8 Skeletal Dysplasia ICD-10-CM Coding Rules All fetal anomaly codes begin with a maternal code followed by a fetal code. All of the leading codes begin with the letter O and not the number zero. Maternal Category O35 is used to designate maternal care for known or suspected fetal abnormality and damage. Where applicable, a 7th character is to be assigned to the maternal code to identify the fetus for which the complication code applies. DISCLAIMER: The Fetal ICD-10 Quick Reference Guide is intended to serve as a resource but should not take place of personal verification of all codes when used for billing purposes.
3 FETAL CARDIAC ANOMALIES ABNORMAL CONNECTIONS Atrial isomerism Common arterial trunk Corrected transposition of great vessels Double inlet ventricle Double outlet left ventricle Double outlet right ventricle Mirror image atrial arrangement Transposition of great vessels AORTIC/MITRAL VALVES Aortic arch hypoplasia (w/hlhs) Aortic valve atresia Aortic valve insufficiency Aortic valve stenosis Bicuspid aortic valve Hypoplastic left heart syndrome Mitral atresia Mitral stenosis Mitral valve insufficiency Other malformations; aortic or mitral valve CARDIAC SEPTAL ANOMALIES Aortopulmonary septal defect Atrial septal defect Common AV canal Ostium primum defect Tetralogy of Fallot Ventricular septal defect GREAT ARTERIES Aneurysmal arterial duct Aortic arch hypoplasia (isolated) Aortic atresia Aortic dilation Aortic stenosis O35.8XX1/Q20.6 O35.8XX1/Q20.0 O35.8XX1/Q20.5 O35.8XX1/Q20.4 O35.8XX1/Q20.2 O35.8XX1/Q20.1 O35.8XX1/Q20.6 O35.8XX1/Q20.3 O35.8XX1/Q23.4 O35.8XX1/Q23.0 O35.8XX1/Q23.1 O35.8XX1/Q23.0 O35.8XX1/Q23.1 O35.8XX1/Q23.4 O35.8XX1/Q23.2 O35.8XX1/Q23.2 O35.8XX1/Q23.3 O35.8XX1/Q23.8 O35.8XX1/Q21.4 O35.8XX1/Q21.1 O35.8XX1/Q21.2 O35.8XX1/Q21.2 O35.8XX1/Q21.3 O35.8XX1/Q21.0 O35.8XX1/Q25.4 O35.8XX1/Q25.4 O35.8XX1/Q25.2 O35.8XX1/Q25.4 O35.8XX1/Q25.3 1
4 Coarctation of the aorta Double aortic arch Pulmonary artery atresia Pulmonary artery stenosis Right sided aortic arch Vascular ring anomaly GREAT VEINS Absent ductus venosus Partial anomalous pulmonary veins Persistent azygous vein Persistent left superior vena cava Total anomalous pulmonary veins PULMONARY/TRICUSPID VALVES Ebstein s anomaly Hypoplastic right heart syndrome Other malformations, pulmonary valve Other malformations, tricuspid valve Pulmonary valve atresia Pulmonary valve regurgitation Pulmonary valve stenosis Tricuspid atresia Tricuspid regurgitation Tricuspid stenosis VENTRICLES Congenital heart block Dextrocardia Levocardia Endocardial fibroelastosis Levocardia Non-compacted myocardium Ventricular aneurysm O35.8XX1/Q25.1 O35.8XX1/Q25.4 O35.8XX1/Q25.5 O35.8XX1/Q25.6 O35.8XX1/Q25.4 O35.8XX1/Q25.4 O35.8XX1/Q26.5 O35.8XX1/Q26.3 O35.8XX1/Q26.8 O35.8XX1/Q26.1 O35.8XX1/Q26.2 O35.8XX1/Q22.5 O35.8XX1/Q22.6 O35.8XX1/Q22.3 O35.8XX1/Q22.8 O35.8XX1/Q O35.8XX1/Q22.2 O35.8XX1/Q22.1 O35.8XX1/Q22.4 O35.8XX1/Q22.8 O35.8XX1/Q22.4 O35.8XX1/Q24.6 O35.8XX1/Q24.0 O35.8XX1/Q24.1 O35.8XX1/I42.4 O35.8XX1/Q24.1 O35.8XX1/Q24.8 O35.8XX1/Q24.8 2
5 RHYTHM DISTURBANCES Atrial flutter Atrial premature beats Congenital heart block Sick sinus syndrome Sinus bradycardia Supraventricular tachycardia Ventricular premature beats Ventricular tachycardia O35.8XX1/I48.3 O35.8XX1/I49.1 O35.8XX1/Q24.6 O35.8XX1/I49.5 O35.8XX1/R00.1 O35.8XX1/I47.1 O35.8XX1/I49.3 O35.8XX1/I47.2 FETAL CHROMOSOME ABNORMALITIES MONOSOMIES Monosomy, nonmosaicisim Monosomy, mosaicism O35.8XX1/Q93.0 O35.8XX1/Q93.1 SEX CHROMOSOMES 45 X (Turner s) O35.8XX1/Q X, iso O35.8XX1/Q , XXX O35.8XX1/Q , XXY O35.8XX1/Q , XYY O35.8XX1/Q98.5 Mosaic 45 X, 46 XX or XY O35.8XX1/Q96.3 TRISOMIES Triploidy Trisomy 13 Trisomy 13, mosaic Trisomy 13, translocation Trisomy 18 Trisomy 18, mosaic Trisomy 18, translocation Trisomy 21 Trisomy 21, mosaic Trisomy 21, translocation Other autosomal trisomy Other autosomal trisomy, mosaic Other autosomal trisomy, partial O35.8XX1/Q92.7 O35.8XX1/Q91.4 O35.8XX1/Q91.5 O35.8XX1/Q91.6 O35.8XX1/Q91.0 O35.8XX1/Q91.1 O35.8XX1/Q91.2 O35.8XX1/Q90.0 O35.8XX1/Q90.1 O35.8XX1/Q90.2 O35.8XX1/Q92.0 O35.8XX1/Q92.1 O35.8XX1/Q92.2 3
6 OTHER CHROMOSOMES Balanced rearrangement, abnormal phenotype O35.8XX1/Q95.2 Balanced rearrangement, normal phenotype O35.8XX1/Q95.1 Fragile X O35.8XX1/Q99.2 Microdeletions O35.8XX1/Q93.88 FETAL CENTRAL NERVOUS SYSTEM ANOMALIES CENTRAL DEFECTS Agenesis of the corpus callosum Porencephaly Septo-optic dysplasia Vein of Galen aneurysm CRANIAL Acrania Anencephaly Craniosynostosis Encephalocele (other) Frontal encephalocele Occiptial encephalocele HYDROCEPHALUS Aqueductal stenosis Congenital hydrocephalus, other Holoprosencephaly Hydranencephaly Ventriculomegaly MIGRATION PROBLEMS Agenesis of the corpus callosum Lissencephaly Macrogyria Microcephaly Schizencephaly O35.0XX1/Q04.0 O35.0XX1/Q04.6 O35.0XX1/Q04.4 O35.0XX1/Q28.2 O35.0XX1/Q00.0 O35.0XX1/Q00.0 O35.0XX1/Q75.0 O35.0XX1/Q01.8 O35.0XX1/Q01.0 O35.0XX1/Q01.2 O35.0XX1/Q03.0 O35.0XX1/Q03.8 O35.0XX1/Q04.2 O35.0XX1/Q04.3 O35.0XX1/Q04.8 O35.0XX1/Q04.0 O35.0XX1/Q04.3 O35.0XX1/Q04.8 O35.0XX1/Q02 O35.0XX1/Q04.6 4
7 POSTERIOR FOSSA Cerebellar hypoplasia Dandy-Walker cyst Dandy-Walker variant Enlarged cisterna magnae Vermian hypoplasia/agenesis O35.0XX1/Q04.3 O35.0XX1/Q03.1 O35.0XX1/Q03.1 O35.0XX1/Q07.9 O35.0XX1/Q04.3 FETAL EXTREMITY ANOMALIES FOOT Absent foot and toes, bilateral Absent foot and toes, left Absent foot and toes, right Polydactyly Syndactyly, both feet Syndactyly, left foot Syndactyly, right foot Talipes calcaneovalgus Talipes calcaneovarus Talipes equinovarus HAND Absent hand and fingers, bilateral Absent hand and fingers, left Absent hand and fingers, right Polydactyly Syndactyly, both hands Syndactyly, left hand Syndactyly, right hand LOWER EXTREMITY Absence of leg (foot present), bilateral Absence of leg (foot present), left Absence of leg (foot present), right Absence of limb, bilateral Absence of limb, left Absence of limb, right Absence of lower leg and foot, bilateral O35.8XX1/Q72.33 O35.8XX1/Q72.32 O35.8XX1/Q72.31 O35.8XX1/Q69.9 O35.8XX1/Q70.33 O35.8XX1/Q70.32 O35.8XX1/Q70.31 O35.8XX1/O66.4 O35.8XX1/O66.1 O35.8XX1/O66.0 O35.8XX1/Q71.33 O35.8XX1/Q71.32 O35.8XX1/Q71.31 O35.8XX1/Q69.0 O35.8XX1/Q70.13 O35.8XX1/Q70.12 O35.8XX1/Q70.11 O35.8XX1/Q72.13 O35.8XX1/Q72.12 O35.8XX1/Q72.11 O35.8XX1/Q72.33 O35.8XX1/Q72.22 O35.8XX1/Q72.21 O35.8XX1/Q
8 Absence of lower leg and foot, left Absence of lower leg and foot, right Bowing of femur Bowing of tibia/fibula Reduction defect of femur, bilateral Reduction defect of femur, left Reduction defect of femur, right Reduction of fibula, bilateral Reduction of fibula, left Reduction of fibula, right Reduction of tibia, bilateral Reduction of tibia, left Reduction of tibia, right UPPER EXTREMITY Absence of arm (hand present), bilateral Absence of arm (hand present), left Absence of arm (hand present), right Absence of forearm and hand, bilateral Absence of forearm and hand, left Absence of forearm and hand, right Absence of limb, bilateral Absence of limb, left Absence of limb, right Bowing of long bone Reduction of radius, bilateral Reduction of radius, left Reduction of radius, right Reduction of ulna, bilateral Reduction of ulna, left Reduction of ulna, right Reduction of upper limb, bilateral Reduction of upper limb, left Reduction of upper limb, right FETAL FACE/NECK ANOMALIES Cervical teratoma Cleft hard and soft palate O35.8XX1/Q72.22 O35.8XX1/Q72.21 O35.8XX1/Q68.3 O35.8XX1/Q68.4 O35.8XX1/Q72.43 O35.8XX1/Q72.42 O35.8XX1/Q72.41 O35.8XX1/Q72.63 O35.8XX1/Q72.62 O35.8XX1/Q72.61 O35.8XX1/Q72.53 O35.8XX1/Q72.52 O35.8XX1/Q72.51 O35.8XX1/Q71.13 O35.8XX1/Q71.12 O35.8XX1/Q71.11 O35.8XX1/Q71.23 O35.8XX1/Q71.22 O35.8XX1/Q71.21 O35.8XX1/Q71.03 O35.8XX1/Q71.02 O35.8XX1/Q71.01 O35.8XX1/Q68.8 O35.8XX1/Q71.43 O35.8XX1/Q71.42 O35.8XX1/Q71.41 O35.8XX1/Q71.53 O35.8XX1/Q71.52 O35.8XX1/Q71.51 O35.8XX1/Q O35.8XX1/Q O35.8XX1/Q O35.8XX1/D48.7 O35.8XX1/Q35.5 6
9 Cleft hard palate Cleft lip bilateral/cleft palate Cleft lip unilateral/cleft palate Cleft lip, bilateral Cleft lip, median Cleft lip, unilateral FETAL GASTROINTESTINAL ANOMALIES Absent diaphragm Anal atresia Asplenia Diaphragmatic hernia Duodenal atresia Esophageal atresia Eventration of diaphragm Intestinal duplication Omphalocele Ovarian cyst Situs inversus Small bowel obstruction Small stomach Tracheo-esophageal fistula FETAL PULMONARY ANOMALIES Bronchial atresia CHAOS CPAM Pulmonary sequestration FETAL RENAL ANOMALIES Horseshoe kidney Infantile polycystic kidney Multicystic kidney Renal agenesis, bilateral Renal agenesis, unilateral Renal hypoplasia, bilateral Renal hypoplasia, unilateral O35.8XX1/Q35.1 O35.8XX1/Q37.0 O35.8XX1/Q37.1 O35.8XX1/Q36.0 O35.8XX1/Q36.1 O35.8XX1/Q36.9 O35.8XX1/Q79.1 O35.8XX1/Q42.3 O35.8XX1/Q89.01 O35.8XX1/Q79.0 O35.8XX1/Q41.0 O35.8XX1/Q39.0 O35.8XX1/Q79.1 O35.8XX1/Q43.4 O35.8XX1/Q79.2 O35.8XX1/Q50.1 O35.8XX1/Q89.3 O35.8XX1/Q41.9 O35.8XX1/Q40.2 O35.8XX1/Q39.1 O35.8XX1/Q32.4 O35.8XX1/Q31.8 O35.8XX1/Q33.0 O35.8XX1/Q33.2 O35.8XX1/Q63.1 O35.8XX1/Q61.11 O35.8XX1/Q61.4 O35.8XX1/Q60.1 O35.8XX1/Q60.0 O35.8XX1/Q60.4 O35.8XX1/Q60.3 7
10 URETER/BLADDER Extrophy of bladder, cloacal Extrophy of bladder, unspecified Hydronephrosis Posterior urethral valves Prune belly syndrome Ureteral duplication Ureterocele Ureteropelvic obstruction Ureterovesical obstruction GENITALIA Ambiguous genitalia Cloaca Hypospadia Micropenis Urethral stricture SKELETAL DYSPLASIAS Achondroplasia Diastropic dysplasia Osteogenesis imperfecta Short rib syndrome Thanatophoric dysplasia Unspecified skeletal dysplasia O35.8XX1/Q64.12 O35.8XX1/Q64.10 O35.8XX1/Q62.0 O35.8XX1/Q64.2 O35.8XX1/Q79.4 O35.8XX1/Q62.5 O35.8XX1/Q64.6 O35.8XX1/Q62.11 O35.8XX1/Q62.12 O35.8XX1/Q56.4 O35.8XX1/Q43.7 O35.8XX1/Q54.1 O35.8XX1/Q55.62 O35.8XX1/Q64.32 O35.8XX1/Q77.4 O35.8XX1/Q77.5 O35.8XX1/Q78.0 O35.8XX1/Q77.2 O35.8XX1/Q77.1 O35.8XX1/Q77.9 FETAL SPINE ANOMALIES Arnold-Chiari w/hydrocephalus O35.0XX1/Q07.02 Arnold-Chiari w/spina bifida O35.0XX1/Q07.01 Arnold-Chiari w/spina bifida and hydrocephalus O35.0XX1/Q07.03 Cervical SB w/hydrocephalus O35.8XX1/Q05.0 Cervical SB w/o hydrocephalus O35.8XX1/Q05.5 Craniorachischisis O35.8XX1/Q00.1 Hemivertebrae O35.8XX1/Q76.49 Kyphosis (cervical) O35.8XX1/Q Kyphosis (cerv-thoracic) O35.8XX1/Q Kyphosis (thoracic) O35.8XX1/Q Kyphosis (thoraco-lumbar) O35.8XX1/Q
11 Kyphosis (unspecified) Lumbar SB w/hydrocephalus Lumbar SB w/o hydrocephalus Sacral SB w/hydrocephalus Sacral SB w/o hydrocephalus Sacrococcygeal teratoma Scoliosis Talipes calcaneovalgus Talipes calcaneovarus Talipes equinovarus Thoracic SB w/hydrocephalus Thoracic SB w/o hydrocephalus Unspecified SB w/hydrocephalus O35.8XX1/Q O35.8XX1/Q05.2 O35.8XX1/Q05.7 O35.8XX1/Q05.3 O35.8XX1/Q05.8 O35.8XX1/D48.0 O35.8XX1/Q76.3 O35.8XX1/O66.4 O35.8XX1/O66.1 O35.8XX1/O66.0 O35.8XX1/Q05.1 O35.8XX1/Q05.6 O35.8XX1/Q05.4 The Fetal Center at Children s Memorial Hermann Hospital, affiliated with the physicians at McGovern Medical School at UTHealth, is a national leader in fetal diagnosis, fetal intervention and comprehensive fetal care for babies with congenital anomalies or genetic abnormalities requiring treatment before or after birth. A national referring center, The Fetal Center offers patients a complete range of prenatal testing and fetal interventions with a multidisciplinary, coordinated program for mother and child before, during and after birth. Contact Us: Call: thefetalcenter@memorialhermann.org Visit: childrens.memorialhermann.org/fetal/physician-resources The Fetal Center 6410 Fannin, Suite 210 Houston, TX
12 childrens.memorialhermann.org/thefetalcenter
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