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ICD-10 Guide
ICD-10 CodesQ27.33

Q27.33

Billable

Arteriovenous malformation of digestive system vessel

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q27.33 is a billable code used to indicate a diagnosis of arteriovenous malformation of digestive system vessel.

Key Diagnostic Point:

Arteriovenous malformations (AVMs) of the digestive system vessels are congenital anomalies characterized by abnormal connections between arteries and veins, bypassing the capillary system. This condition can lead to significant complications, including gastrointestinal bleeding, ischemia, and organ dysfunction. AVMs may occur in various locations within the digestive tract, including the stomach, intestines, and liver. The clinical presentation can vary widely, with some patients being asymptomatic while others may present with acute abdominal pain, hematochezia, or signs of chronic blood loss such as anemia. Diagnosis typically involves imaging studies such as ultrasound, CT angiography, or MRI to visualize the vascular malformation. Management may require a multidisciplinary approach, including surgical intervention, endovascular therapy, or medical management to control symptoms and prevent complications. Early detection and appropriate treatment are crucial to improving outcomes in affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for imaging studies for accurate diagnosis
  • Potential for associated congenital anomalies
  • Differential diagnosis with other vascular malformations

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to capture associated congenital anomalies
  • Misclassification of AVM severity
  • Inconsistent coding of related procedures

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include growth parameters, developmental milestones, and specific symptoms related to the AVM. Detailed family history may also be relevant.

Common Clinical Scenarios

Common scenarios include a pediatric patient presenting with gastrointestinal bleeding or unexplained abdominal pain, necessitating imaging studies.

Billing Considerations

Consideration must be given to the age of the patient and the potential for growth-related changes in the AVM.

Genetics

Documentation Requirements

Genetic documentation should include family history of vascular malformations and any syndromic associations.

Common Clinical Scenarios

Genetic counseling may be required for families with multiple affected members or when AVMs are part of a syndrome.

Billing Considerations

Consideration of genetic syndromes associated with vascular malformations, such as Osler-Weber-Rendu syndrome.

Coding Guidelines

Inclusion Criteria

Use Q27.33 When
  • According to ICD
  • 10 coding guidelines, congenital conditions should be coded based on the specific anatomical site and type of malformation
  • Documentation must support the diagnosis and any associated conditions

Exclusion Criteria

Do NOT use Q27.33 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

37215CPT Code

Endovascular embolization of arteriovenous malformation

Clinical Scenario

Used in cases where AVM requires intervention to prevent complications.

Documentation Requirements

Detailed imaging reports and clinical notes supporting the need for intervention.

Specialty Considerations

Considerations for pediatric patients may include anesthesia and recovery protocols.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common symptoms of an arteriovenous malformation?

Common symptoms include abdominal pain, gastrointestinal bleeding, and signs of chronic blood loss such as anemia. Some patients may be asymptomatic.