Q43
Non-Billable

Other congenital malformations of intestine

Non-Billable / Non-Specific Code

What is Other congenital malformations of intestine?

ICD-10-CM Q43 is the diagnosis code for Other congenital malformations of intestine. This code falls under the section "Other congenital malformations of the digestive system" within Chapter 17 — Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

Coding Guidelines for Q43

Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.

ICD-10-CM Code Hierarchy

Understanding where Q43 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 10 entries
Q43.0Meckel's diverticulum (displaced) (hypertrophic)BillableQ43.1Hirschsprung's diseaseBillableQ43.2Other congenital functional disorders of colonBillableQ43.3Congenital malformations of intestinal fixationBillableQ43.4Duplication of intestineBillableQ43.5Ectopic anusBillableQ43.6Congenital fistula of rectum and anusBillableQ43.7Persistent cloacaBillableQ43.8Other specified congenital malformations of intestineBillableQ43.9Congenital malformation of intestine, unspecifiedBillable
Related Codes

Frequently Asked Questions

Is Q43 a billable ICD-10-CM code?

No, Q43 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does Q43 mean?

Q43 is the ICD-10-CM diagnosis code for "Other congenital malformations of intestine". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is Q43 in?

Q43 is located in Section Q38-Q45 — "Other congenital malformations of the digestive system" within Chapter 17 of the ICD-10-CM Tabular List.

What are the sub-codes of Q43?

Q43 has 10 sub-code(s) that provide more specific detail: Q43.0, Q43.1, Q43.2, Q43.3, Q43.4 and more.

When should I use Q43?

Use Q43 when the patients documented diagnosis matches "Other congenital malformations of intestine" 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 Other congenital malformations of intestine?

The ICD-10-CM code for Other congenital malformations of intestine is Q43.

Can Q43 be used for primary diagnosis?

No, Q43 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is Q43 in?

Q43 is in Chapter 17 of the ICD-10-CM Tabular List.

Is Q43 valid for 2026?

Yes, Q43 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousQ42.9Congenital absence, atresia and stenosis of large intestine, part unspecifiedNext →Q43.0Meckel's diverticulum (displaced) (hypertrophic)
Code Details
Q43
Other congenital malformations of intestine
Non-Billable / Non-Specific Code
17 — Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0)
Q38-Q45 — Other congenital malformations of the digestive system
2026 ICD-10-CM