Q40.1
Billable

Congenital hiatus hernia

Billable / Specific Code

What is Congenital hiatus hernia?

ICD-10-CM Q40.1 is the diagnosis code for Congenital hiatus hernia. 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 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
⛔ Excludes1

Coding Guidelines for Q40.1

✅ This Code Includes

  • Congenital displacement of cardia through esophageal hiatus

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as Q40.1. They are mutually exclusive:

  • congenital diaphragmatic hernia (Q79.0)

ICD-10-CM Code Hierarchy

Understanding where Q40.1 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is Q40.1 a billable ICD-10-CM code?

Yes, Q40.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does Q40.1 mean?

Q40.1 is the ICD-10-CM diagnosis code for "Congenital hiatus hernia". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of Q40.1?

The parent code of Q40.1 is Q40 ("Other congenital malformations of upper alimentary tract"). Q40.1 provides a more specific classification within this category.

What section is Q40.1 in?

Q40.1 is located in Section Q38-Q45 — "Other congenital malformations of the digestive system" within Chapter 17 of the ICD-10-CM Tabular List.

When should I use Q40.1?

Use Q40.1 when the patients documented diagnosis matches "Congenital hiatus hernia" 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 Congenital hiatus hernia?

The ICD-10-CM code for Congenital hiatus hernia is Q40.1.

Can Q40.1 be used for primary diagnosis?

Yes, Q40.1 can be used as a primary diagnosis code since it is billable and specific.

What chapter is Q40.1 in?

Q40.1 is in Chapter 17 of the ICD-10-CM Tabular List.

What conditions are excluded from Q40.1?

Type 1 Excludes for Q40.1 include: congenital diaphragmatic hernia (Q79.0).

Is Q40.1 valid for 2026?

Yes, Q40.1 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousQ40.0Congenital hypertrophic pyloric stenosisNext →Q40.2Other specified congenital malformations of stomach
Code Details
Q40.1
Congenital hiatus hernia
Billable / Specific Code
17 — Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0)
Q38-Q45 — Other congenital malformations of the digestive system
2026 ICD-10-CM