ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesQ28.2

Q28.2

Billable

Arteriovenous malformation of cerebral vessels

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

Code Description

ICD-10 Q28.2 is a billable code used to indicate a diagnosis of arteriovenous malformation of cerebral vessels.

Key Diagnostic Point:

Arteriovenous malformations (AVMs) of cerebral vessels are congenital vascular anomalies characterized by an abnormal connection between arteries and veins, bypassing the capillary system. This condition can lead to significant neurological complications, including hemorrhage, seizures, and neurological deficits. AVMs can occur in various locations within the brain and may present with symptoms such as headaches, focal neurological deficits, or even be asymptomatic until a rupture occurs. Diagnosis typically involves imaging studies such as MRI or CT angiography. Treatment options may include surgical resection, endovascular embolization, or stereotactic radiosurgery, depending on the size, location, and symptoms associated with the AVM. The management of AVMs requires a multidisciplinary approach, often involving neurosurgeons, interventional radiologists, and neurologists. Early detection and intervention are crucial to prevent complications and improve outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and symptoms among patients
  • Need for detailed imaging documentation
  • Potential for multiple treatment modalities
  • Differentiation from other vascular anomalies

Audit Risk Factors

  • Inadequate documentation of imaging studies
  • Failure to document associated neurological symptoms
  • Misclassification of AVM severity
  • Inconsistent coding of treatment modalities

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include growth parameters, developmental milestones, and specific neurological assessments related to AVMs.

Common Clinical Scenarios

Common scenarios include a pediatric patient presenting with seizures or headaches, requiring imaging to evaluate for AVMs.

Billing Considerations

Considerations include the impact of AVMs on developmental progress and the need for long-term follow-up.

Genetics

Documentation Requirements

Genetic documentation may include family history of vascular anomalies and any syndromic associations.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of AVMs or related syndromes.

Billing Considerations

Considerations include the potential for hereditary syndromes that may predispose to AVMs.

Coding Guidelines

Inclusion Criteria

Use Q28.2 When
  • Follow official ICD
  • 10 guidelines for congenital conditions, ensuring accurate documentation of the AVM's location, size, and associated symptoms
  • Use additional codes for any related neurological deficits

Exclusion Criteria

Do NOT use Q28.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

61626CPT Code

Endovascular embolization of cerebral AVM

Clinical Scenario

Used when treating an AVM through minimally invasive techniques.

Documentation Requirements

Document the indication for the procedure, imaging findings, and post-procedure follow-up.

Specialty Considerations

Neurosurgical documentation may require additional details on the approach and technique used.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

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

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Guidelines for Coding Congenital Conditions

Coding & Billing References

  • •
    American Academy of Pediatrics - Guidelines for Coding Congenital Conditions

Frequently Asked Questions

What is the importance of documenting associated symptoms with AVMs?

Documenting associated symptoms is crucial for accurate coding and understanding the clinical impact of the AVM on the patient's health. It also supports the medical necessity of treatments provided.