Q45.3
Billable

Other congenital malformations of pancreas and pancreatic duct

Billable / Specific Code

What is Other congenital malformations of pancreas and pancreatic duct?

ICD-10-CM Q45.3 is the diagnosis code for Other congenital malformations of pancreas and pancreatic duct. 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 Q45.3

✅ This Code Includes

  • Accessory pancreas
  • Congenital malformation of pancreas or pancreatic duct NOS

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as Q45.3. They are mutually exclusive:

  • congenital diabetes mellitus (E10.-)
  • cystic fibrosis (E84.0-E84.9)
  • fibrocystic disease of pancreas (E84.-)
  • neonatal diabetes mellitus (P70.2)

ICD-10-CM Code Hierarchy

Understanding where Q45.3 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is Q45.3 a billable ICD-10-CM code?

Yes, Q45.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does Q45.3 mean?

Q45.3 is the ICD-10-CM diagnosis code for "Other congenital malformations of pancreas and pancreatic duct". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of Q45.3?

The parent code of Q45.3 is Q45 ("Other congenital malformations of digestive system"). Q45.3 provides a more specific classification within this category.

What section is Q45.3 in?

Q45.3 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 Q45.3?

Use Q45.3 when the patients documented diagnosis matches "Other congenital malformations of pancreas and pancreatic duct" 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 pancreas and pancreatic duct?

The ICD-10-CM code for Other congenital malformations of pancreas and pancreatic duct is Q45.3.

Can Q45.3 be used for primary diagnosis?

Yes, Q45.3 can be used as a primary diagnosis code since it is billable and specific.

What chapter is Q45.3 in?

Q45.3 is in Chapter 17 of the ICD-10-CM Tabular List.

What conditions are excluded from Q45.3?

Type 1 Excludes for Q45.3 include: congenital diabetes mellitus (E10.-); cystic fibrosis (E84.0-E84.9); fibrocystic disease of pancreas (E84.-) and more.

Is Q45.3 valid for 2026?

Yes, Q45.3 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousQ45.2Congenital pancreatic cystNext →Q45.8Other specified congenital malformations of digestive system
Code Details
Q45.3
Other congenital malformations of pancreas and pancreatic duct
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