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ICD-10 Guide
ICD-10 CodesQ28.3

Q28.3

Billable

Other malformations of cerebral vessels

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

Code Description

ICD-10 Q28.3 is a billable code used to indicate a diagnosis of other malformations of cerebral vessels.

Key Diagnostic Point:

Congenital malformations of cerebral vessels encompass a variety of vascular anomalies that can affect the brain's blood supply. These malformations may include arteriovenous malformations (AVMs), aneurysms, and other vascular dysgenesis. Such conditions can lead to significant neurological deficits, seizures, and increased risk of hemorrhage. The etiology of these malformations is often multifactorial, involving genetic predispositions and environmental factors during fetal development. Diagnosis typically involves imaging studies such as MRI or CT angiography, which can reveal the structural abnormalities of the cerebral vessels. Management may require a multidisciplinary approach, including neurosurgery, interventional radiology, and ongoing neurological care. Early identification and intervention are crucial to mitigate potential complications associated with these vascular anomalies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of malformations
  • Need for detailed imaging studies for accurate diagnosis
  • Potential for associated neurological deficits complicating coding
  • Differentiation from acquired vascular conditions

Audit Risk Factors

  • Inadequate documentation of the specific type of malformation
  • Failure to capture associated neurological conditions
  • Misclassification of congenital versus acquired conditions
  • Lack of imaging study documentation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation must include detailed descriptions of the malformation, associated symptoms, and any interventions performed.

Common Clinical Scenarios

Common scenarios include a newborn presenting with seizures due to an AVM or a child with developmental delays linked to cerebral vascular malformations.

Billing Considerations

Pediatric coders should be aware of growth and developmental milestones that may be affected by these conditions.

Genetics

Documentation Requirements

Genetic documentation should include family history, genetic testing results, and any syndromic associations with cerebral vascular malformations.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of vascular malformations or syndromes that include these anomalies.

Billing Considerations

Coders must consider the genetic implications and potential syndromic associations when coding.

Coding Guidelines

Inclusion Criteria

Use Q28.3 When
  • Follow official coding guidelines for congenital conditions, ensuring accurate documentation of the malformation type, associated conditions, and any interventions performed
  • Use additional codes to capture related conditions or complications

Exclusion Criteria

Do NOT use Q28.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

61582CPT Code

Craniotomy for excision of vascular malformation

Clinical Scenario

Used in cases where surgical intervention is required for cerebral vascular malformations.

Documentation Requirements

Detailed operative notes and imaging studies supporting the need for surgery.

Specialty Considerations

Neurosurgical documentation must clearly outline the indications for surgery.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital malformations, improving the accuracy of data collection and reimbursement processes. It has also enhanced the ability to track outcomes and complications associated with these conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital malformations, improving the accuracy of data collection and reimbursement processes. It has also enhanced the ability to track outcomes and complications associated with these conditions.

Reimbursement & Billing Impact

reimbursement processes. It has also enhanced the ability to track outcomes and complications associated with these conditions.

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 congenital malformations of cerebral vessels?

Common congenital malformations include arteriovenous malformations (AVMs), cerebral aneurysms, and vascular dysgenesis. These conditions can lead to significant neurological issues and require careful management.