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 CodesQ41.8

Q41.8

Billable

Congenital absence, atresia and stenosis of other specified parts of small intestine

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

Code Description

ICD-10 Q41.8 is a billable code used to indicate a diagnosis of congenital absence, atresia and stenosis of other specified parts of small intestine.

Key Diagnostic Point:

Congenital absence, atresia, and stenosis of the small intestine are serious congenital malformations that can significantly impact a child's digestive health. These conditions can lead to obstruction, malabsorption, and nutritional deficiencies. The small intestine is crucial for digestion and absorption of nutrients, and any congenital anomaly can lead to severe complications. Esophageal atresia, for instance, is a condition where the esophagus does not connect properly to the stomach, often associated with tracheoesophageal fistula. Hirschsprung disease is characterized by the absence of nerve cells in the colon, leading to severe constipation or intestinal obstruction. Imperforate anus is a defect where the anal opening is missing or blocked, requiring surgical intervention. Gastroschisis involves the intestines protruding through a hole in the abdominal wall, necessitating immediate surgical repair. Each of these conditions requires careful diagnosis and management, often involving multidisciplinary teams including pediatric surgeons, gastroenterologists, and geneticists.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of congenital conditions
  • Need for detailed documentation of associated anomalies
  • Potential for multiple surgical interventions and follow-up care
  • Differentiation from similar conditions requiring specific codes

Audit Risk Factors

  • Inadequate documentation of associated congenital anomalies
  • Failure to specify the exact location of the malformation
  • Misclassification of the type of atresia or stenosis
  • Lack of clarity on surgical interventions performed

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed clinical notes including growth parameters, feeding difficulties, and surgical history.

Common Clinical Scenarios

Management of infants with esophageal atresia requiring surgical repair and ongoing nutritional support.

Billing Considerations

Consideration of developmental milestones and long-term follow-up for growth and gastrointestinal function.

Genetics

Documentation Requirements

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

Common Clinical Scenarios

Genetic counseling for families with a history of congenital malformations and assessment for syndromic conditions.

Billing Considerations

Understanding the genetic basis of congenital conditions and implications for family planning.

Coding Guidelines

Inclusion Criteria

Use Q41.8 When
  • Follow official ICD
  • CM guidelines for coding congenital conditions, ensuring specificity in documentation and coding based on the clinical scenario and associated anomalies

Exclusion Criteria

Do NOT use Q41.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

44160CPT Code

Resection of small intestine

Clinical Scenario

Used in cases of congenital atresia requiring surgical intervention.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Pediatric surgical documentation must include age-specific considerations.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, improving the ability to track and manage these complex cases.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, improving the ability to track and manage these complex cases.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, improving the ability to track and manage these complex cases.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Coding for Pediatric Care

Coding & Billing References

  • •
    American Academy of Pediatrics - Coding for Pediatric Care

Frequently Asked Questions

What documentation is required for coding Q41.8?

Documentation should include a detailed clinical history, surgical reports, and any imaging studies that confirm the diagnosis of congenital absence, atresia, or stenosis of the small intestine. Additionally, any associated congenital anomalies should be documented to ensure accurate coding.