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 CodesQ33.3

Q33.3

Billable

Agenesis of lung

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

Code Description

ICD-10 Q33.3 is a billable code used to indicate a diagnosis of agenesis of lung.

Key Diagnostic Point:

Agenesis of the lung is a rare congenital malformation characterized by the complete absence of one or both lungs. This condition can occur as an isolated anomaly or as part of a syndrome involving other congenital defects. The absence of lung tissue leads to significant respiratory compromise, often necessitating immediate medical intervention. Agenesis can be unilateral (affecting one lung) or bilateral (affecting both lungs), with unilateral cases generally having a better prognosis. Associated anomalies may include congenital heart defects, tracheoesophageal fistula, and other malformations of the respiratory system. Diagnosis is typically made through imaging studies such as chest X-rays or CT scans, which reveal the absence of lung tissue. Management strategies may involve supportive care, surgical interventions, and addressing any associated congenital anomalies. Early diagnosis and intervention are crucial for improving outcomes in affected infants.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variability in presentation (unilateral vs. bilateral)
  • Potential for associated congenital anomalies
  • Need for multidisciplinary care coordination
  • Complexity of diagnostic imaging interpretation

Audit Risk Factors

  • Inadequate documentation of associated congenital anomalies
  • Failure to specify unilateral or bilateral agenesis
  • Misclassification of severity or type of lung agenesis
  • Lack of supporting imaging studies in the medical record

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed clinical notes on respiratory status, imaging results, and any interventions performed.

Common Clinical Scenarios

Infants presenting with respiratory distress, requiring evaluation for congenital lung anomalies.

Billing Considerations

Consideration of the infant's gestational age and overall health status when coding.

Genetics

Documentation Requirements

Genetic testing results, family history of congenital anomalies, and any syndromic associations.

Common Clinical Scenarios

Cases where lung agenesis is part of a genetic syndrome, requiring genetic counseling.

Billing Considerations

Documentation of chromosomal abnormalities that may be associated with lung agenesis.

Coding Guidelines

Inclusion Criteria

Use Q33.3 When
  • Follow ICD
  • CM guidelines for coding congenital malformations, ensuring specificity in the documentation of the condition and any associated anomalies

Exclusion Criteria

Do NOT use Q33.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

32551CPT Code

Thoracotomy with lobectomy

Clinical Scenario

Used in cases of lung resection due to congenital anomalies.

Documentation Requirements

Operative reports detailing the procedure and indications.

Specialty Considerations

Pediatric surgical documentation must include details on congenital conditions.

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 for complex cases like lung agenesis.

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 for complex cases like lung agenesis.

Reimbursement & Billing Impact

reimbursement for complex cases like lung agenesis.

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 is the difference between lung agenesis and lung hypoplasia?

Lung agenesis refers to the complete absence of lung tissue, while lung hypoplasia indicates underdevelopment of lung tissue. Accurate coding requires distinguishing between these two conditions based on clinical and imaging findings.