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Q79.2

Billable

Exomphalos

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

What This Code Means

A birth defect where abdominal organs protrude through the umbilicus (belly button area) and are covered by a thin membrane rather than skin.

Coding Tips

  • Distinguish between exomphalos (Q79.2) and gastroschisis (Q79.3); exomphalos has a membrane covering while gastroschisis does not
  • Document whether surgical repair was performed during the encounter

Excludes 1 — Do NOT code together

  • umbilical hernia (K42.-)

Code Hierarchy

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