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ICD-10 Guide
ICD-10 CodesChapter 17: Congenital malformations and chromosomal abnormalitiesQ44

Q44

Non-billable

Congenital malformations of gallbladder, bile ducts and liver

Chapter 17:Congenital malformations and chromosomal abnormalities

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

Code Description

ICD-10 Q44 is a used to indicate a diagnosis of congenital malformations of gallbladder, bile ducts and liver.

Key Diagnostic Point:

The ICD-10 Level 1 Category code Q44 encompasses congenital malformations of the gallbladder, bile ducts, and liver. This category includes a variety of conditions such as agenesis, hypoplasia, and atresia of these organs, which can significantly impact the digestive system and overall health of affected individuals. These malformations may present at birth or be detected later in life, often leading to complications such as biliary obstruction, cholestasis, or liver dysfunction. Early diagnosis and management are crucial for improving outcomes and preventing severe complications associated with these congenital anomalies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation
  • Need for multidisciplinary management
  • Potential for surgical intervention

Audit Risk Factors

  • Inadequate documentation of congenital conditions
  • Misclassification of related biliary disorders
  • Failure to capture associated complications

Specialty Focus

Medical Specialties

Pediatrics

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 and administrative impact of the Q44 code category is significant, as it relates to congenital conditions that can affect a patient's quality of life and long-term health outcomes. Accurate coding and documentation are essential for quality measures and population health tracking. As healthcare trends evolve, understanding the implications of congenital malformations on broader health systems will be critical for improving care delivery and resource allocation.

ICD-9 vs ICD-10

The clinical and administrative impact of the Q44 code category is significant, as it relates to congenital conditions that can affect a patient's quality of life and long-term health outcomes. Accurate coding and documentation are essential for quality measures and population health tracking. As healthcare trends evolve, understanding the implications of congenital malformations on broader health systems will be critical for improving care delivery and resource allocation.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the specific congenital malformation and the interventions performed. It is essential to ensure that all relevant details are captured in the medical records, including the nature of the malformation, any surgical procedures, and ongoing management. Proper coding can facilitate appropriate reimbursement and reduce the risk of claim denials.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for Q44

Coding & Billing References

  • •
    Official ICD-10 Guidelines for Q44

Frequently Asked Questions

What conditions are included in Q44?

Q44 includes various congenital malformations such as agenesis of the gallbladder, biliary atresia, and congenital hepatic fibrosis. These conditions affect the structure and function of the gallbladder, bile ducts, and liver.

When should I use Q44 codes?

Q44 codes should be used when documenting congenital malformations of the gallbladder, bile ducts, or liver that are identified either at birth or during subsequent evaluations. Accurate coding is essential for proper treatment planning and management.

What documentation is required for Q44?

Documentation should include a clear diagnosis of the congenital malformation, any associated symptoms, and the clinical findings that support the diagnosis. Detailed records of imaging studies, surgical interventions, and follow-up care are also important.