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ICD-10 Guide
ICD-10 CodesChapter 17: Congenital malformations and chromosomal abnormalitiesQ41

Q41

Non-billable

Congenital absence, atresia and stenosis of small intestine

Chapter 17:Congenital malformations and chromosomal abnormalities

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 Q41 is a used to indicate a diagnosis of congenital absence, atresia and stenosis of small intestine.

Key Diagnostic Point:

The ICD-10 Level 1 Category code Q41 encompasses congenital conditions characterized by the absence, atresia, or stenosis of the small intestine. These conditions are typically present at birth and can lead to significant gastrointestinal complications. Congenital absence refers to the complete lack of a portion of the small intestine, while atresia describes a blockage or closure of the intestinal lumen, and stenosis indicates a narrowing that can impede normal digestive function. Early diagnosis and intervention are crucial to prevent malnutrition and other serious health issues associated with these conditions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation
  • Need for surgical intervention
  • Potential for associated anomalies

Audit Risk Factors

  • Inadequate documentation of the specific condition
  • Failure to report associated anomalies
  • Misclassification of severity or type of condition

Specialty Focus

Medical Specialties

Pediatric Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Gastroenterology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical impact of Q41 is significant, as early identification and treatment of congenital small intestine anomalies can drastically improve patient outcomes. These conditions can lead to malnutrition, growth failure, and other serious complications if not addressed promptly. Administratively, accurate coding and billing practices for Q41 are critical for tracking healthcare trends related to congenital anomalies, influencing quality measures, and informing population health strategies aimed at improving care for affected individuals.

ICD-9 vs ICD-10

The clinical impact of Q41 is significant, as early identification and treatment of congenital small intestine anomalies can drastically improve patient outcomes. These conditions can lead to malnutrition, growth failure, and other serious complications if not addressed promptly. Administratively, accurate coding and billing practices for Q41 are critical for tracking healthcare trends related to congenital anomalies, influencing quality measures, and informing population health strategies aimed at improving care for affected individuals.

Reimbursement & Billing Impact

billing practices for Q41 are critical for tracking healthcare trends related to congenital anomalies, influencing quality measures, and informing population health strategies aimed at improving care for affected individuals.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for Q41

Coding & Billing References

  • •
    Official ICD-10 Guidelines for Q41

Frequently Asked Questions

What conditions are included in Q41?

Q41 includes congenital absence, atresia, and stenosis of the small intestine, which may manifest as various forms of intestinal obstruction or malformation at birth.

When should I use Q41 codes?

Q41 codes should be used when documenting cases of congenital small intestine anomalies diagnosed at birth or during early infancy, particularly when surgical intervention is required.

What documentation is required for Q41?

Documentation should include a detailed clinical description of the condition, diagnostic imaging results, surgical reports if applicable, and any associated congenital anomalies.