Q21.12
Billable

Patent foramen ovale

Billable / Specific Code

What is Patent foramen ovale?

ICD-10-CM Q21.12 is the diagnosis code for Patent foramen ovale. This code falls under the section "Congenital malformations of the circulatory system" within Chapter 17 — Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions

Coding Guidelines for Q21.12

✅ This Code Includes

  • Persistent foramen ovale

ICD-10-CM Code Hierarchy

Understanding where Q21.12 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is Q21.12 a billable ICD-10-CM code?

Yes, Q21.12 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does Q21.12 mean?

Q21.12 is the ICD-10-CM diagnosis code for "Patent foramen ovale". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of Q21.12?

The parent code of Q21.12 is Q21.1 ("Atrial septal defect"). Q21.12 provides a more specific classification within this category.

What section is Q21.12 in?

Q21.12 is located in Section Q20-Q28 — "Congenital malformations of the circulatory system" within Chapter 17 of the ICD-10-CM Tabular List.

When should I use Q21.12?

Use Q21.12 when the patients documented diagnosis matches "Patent foramen ovale" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Patent foramen ovale?

The ICD-10-CM code for Patent foramen ovale is Q21.12.

Can Q21.12 be used for primary diagnosis?

Yes, Q21.12 can be used as a primary diagnosis code since it is billable and specific.

What chapter is Q21.12 in?

Q21.12 is in Chapter 17 of the ICD-10-CM Tabular List.

Is Q21.12 valid for 2026?

Yes, Q21.12 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousQ21.11Secundum atrial septal defectNext →Q21.13Coronary sinus atrial septal defect
Code Details
Q21.12
Patent foramen ovale
Billable / Specific Code
17 — Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0)
Q20-Q28 — Congenital malformations of the circulatory system
2026 ICD-10-CM