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Q22.2

Billable

Congenital pulmonary valve insufficiency

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 does not close properly, allowing blood to leak backward into the right ventricle.

Coding Tips

  • •Document the degree of insufficiency if specified in clinical notes
  • •May be associated with other valvular or septal defects requiring additional codes

Code Hierarchy

└Q22Congenital malformations of pulmonary and tricuspid valves└Q22.2Congenital pulmonary valve insufficiency
└Q22.2Congenital pulmonary valve insufficiency

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