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Q22.1

Billable

Congenital pulmonary valve stenosis

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A birth defect where the pulmonary valve is abnormally narrow, restricting blood flow from the right ventricle to the lungs.

Coding Tips

  • Severity may be documented (mild, moderate, severe); ensure documentation supports the diagnosis
  • May require follow-up codes for interventions or hemodynamic consequences

Code Hierarchy

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