Q21.11 Secundum atrial septal defect

The ICD-10-CM code for Secundum atrial septal defect is Q21.11 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

17: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0)

Section

Q20-Q28: Congenital malformations of the circulatory system (Q20-Q28)

Category Q21

20 codes (17 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to Q21.11:

• Ostium › secundum (arteriosum) (defect) (patent) (persistent)
• Patent › ostium secundum (type II)
• Fenestration, fenestrated › atrial septum
• Defect, defective › ostium › secundum
• Defect, defective › atrial septal › ostium secundum type (patent persistent) (type II)
• Persistence, persistent (congenital) › ostium › secundum
• Imperfect › closure (congenital) › atrium (secundum)

Inclusion Terms

• Fenestrated atrial septum
• Patent or persistent ostium secundum defect (type II)

U.S. Hospital Utilization

• An estimated 23,780 U.S. inpatient stays in 2023 included Q21.11 among the documented diagnoses.
• 1,900 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

POA indicator for congenital conditions/anomalies and Q00-Q99 exception

Congenital conditions and anomalies Assign “Y” for congenital conditions and anomalies except for categories Q00- Q99, Congenital anomalies, which are on the exempt list. Congenital conditions are always considered present on admission.

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)