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Q22.6

Billable

Hypoplastic right heart syndrome

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 right side of the heart is underdeveloped, with a small or poorly formed right ventricle that cannot pump blood effectively to the lungs.

Coding Tips

  • •This is a severe condition requiring surgical intervention; look for associated procedure codes and complications
  • •Often requires multiple surgeries over time; ensure all relevant diagnoses and procedures are coded

Code Hierarchy

└Q22Congenital malformations of pulmonary and tricuspid valves└Q22.6Hypoplastic right heart syndrome
└Q22.6Hypoplastic right heart syndrome

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