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ICD-10 Guide
ICD-10 CodesQ27.31

Q27.31

Billable

Arteriovenous malformation of vessel of upper limb

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

Code Description

ICD-10 Q27.31 is a billable code used to indicate a diagnosis of arteriovenous malformation of vessel of upper limb.

Key Diagnostic Point:

Arteriovenous malformations (AVMs) of the upper limb are congenital vascular anomalies characterized by an abnormal connection between arteries and veins, bypassing the capillary system. This condition can lead to various complications, including pain, swelling, and potential ischemia due to altered blood flow dynamics. AVMs can be isolated or part of syndromic presentations, and their clinical manifestations may vary widely. Diagnosis typically involves imaging studies such as ultrasound, MRI, or angiography to assess the extent of the malformation and its hemodynamic impact. Treatment options may include observation, embolization, or surgical resection, depending on the size, location, and symptoms associated with the AVM. Early identification and management are crucial to prevent complications and improve outcomes for affected individuals, particularly in pediatric populations where growth and development can be significantly impacted.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of AVMs.
  • Need for precise imaging documentation to support coding.
  • Potential for associated syndromic conditions complicating coding.
  • Differentiation from other vascular anomalies such as hemangiomas.

Audit Risk Factors

  • Inadequate documentation of imaging studies.
  • Failure to document associated symptoms or complications.
  • Misclassification of AVMs as other vascular anomalies.
  • Lack of clarity in treatment plans and follow-up care.

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and developmental assessments, imaging results, and treatment plans.

Common Clinical Scenarios

Pediatric patients presenting with swelling or pain in the upper limb, requiring imaging to assess for AVMs.

Billing Considerations

Consideration of the impact of AVMs on growth and development, and the need for multidisciplinary care.

Genetics

Documentation Requirements

Genetic counseling notes, family history, and any genetic testing results related to syndromic associations.

Common Clinical Scenarios

Patients with AVMs presenting with other congenital anomalies, requiring genetic evaluation.

Billing Considerations

Awareness of syndromic associations such as Klippel-Trenaunay syndrome, which may require additional coding.

Coding Guidelines

Inclusion Criteria

Use Q27.31 When
  • Follow the official ICD
  • CM guidelines for coding congenital malformations, ensuring accurate documentation of the condition's nature, location, and any associated anomalies

Exclusion Criteria

Do NOT use Q27.31 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

37204CPT Code

Endovenous laser ablation of incompetent vein

Clinical Scenario

Used in cases where AVM treatment involves vascular intervention.

Documentation Requirements

Document the indication for the procedure and imaging findings.

Specialty Considerations

Ensure vascular specialists are involved in the treatment plan.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

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

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    Congenital Vascular Malformations

Coding & Billing References

  • •
    Congenital Vascular Malformations

Frequently Asked Questions

What is the difference between an AVM and a hemangioma?

An AVM is a congenital malformation characterized by abnormal connections between arteries and veins, while a hemangioma is a benign tumor of blood vessels. Accurate coding requires distinguishing between these two conditions based on clinical and imaging findings.