Q45.8

Other specified congenital malformations of digestive system

FY2027Chapter 17: Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders/Q38–Q45 Other congenital malformations of the digestive system

BillableComplete code, valid to report

Q45.8 (also written Q458) is a billable ICD-10-CM diagnosis code for other specified congenital malformations of digestive system. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 6 codes in category Q45 (Other congenital malformations of digestive system). The Alphabetic Index lists it under 23 entries. Its coding notes include 3 Excludes2 entries.

Guidelines tip

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

Chapter 17 codes can be used for life. Manifestations that are an inherent part of a specifically coded anomaly are not coded separately. A corrected malformation is reported with a personal history code.

Guidelines I.C.17Congenital malformations and genetic disordersRead the official text

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Inherited from Q45 Other congenital malformations of digestive system
  • congenital diaphragmatic hernia (Q79.0)
  • congenital hiatus hernia (Q40.1)
Also from chapter/block level (1 note)
Inherited from Chapter 17 Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders
  • inborn errors of metabolism (E70-E88)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Other clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Inclusion terms

Conditions classified to this code.

This code
  • Absence (complete) (partial) of alimentary tract NOS
  • Duplication of digestive system
  • Malposition, congenital of digestive system

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 17 Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders
  • Codes from this chapter are not for use on maternal records

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 23 entries

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