Q22.1 Congenital pulmonary valve stenosis

The ICD-10-CM code for Congenital pulmonary valve stenosis is Q22.1 (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 Q22

10 codes (9 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to Q22.1:

• Fusion, fused (congenital) › pulmonic cusps
• Stenosis, stenotic (cicatricial) › pulmonic (congenital)
• Fusion, fused (congenital) › cusps, heart valve NEC › pulmonary
• Stenosis, stenotic (cicatricial) › pulmonary (artery) (congenital) › valve › congenital
• Stenosis, stenotic (cicatricial) › valve (cardiac) (heart) › congenital › pulmonary
• Stricture › heart › valve › pulmonary
• Stricture › pulmonary, pulmonic › valve › congenital
• Anomaly, anomalous (congenital) (unspecified type) › pulmonary › valve › stenosis

U.S. Hospital Utilization

• An estimated 5,280 U.S. inpatient stays in 2023 included Q22.1 among the documented diagnoses.
• 525 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)