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Home/Diagnosis/ICD-10 Coding for Tetralogy of Fallot

ICD-10 Coding for Tetralogy of Fallot

Q21.3
Q22.0

Complete ICD-10-CM coding and documentation guide for icd-10 coding for tetralogy of fallot includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
TOF
Fallot's Tetralogy
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Key Information: ICD-10 Coding for Tetralogy of Fallot

Essential facts and insights about ICD-10 Coding for Tetralogy of Fallot

Use ICD-10 code Q21.3 for tetralogy of fallot, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Tetralogy of Fallot

Billable Code
Q21.3
Billable

Diagnostic Criteria

clinical_criteria:
  • • Presence of all four TOF defects
coding_criteria:
  • • Avoid using Q21.82 for pentalogy

Applicable To

  • • Classic TOF with all 4 components

Important Notes

  • • Ensure all four defects are documented for accurate coding.

Pulmonary valve atresia

Billable Code
Q22.0
Billable

Diagnostic Criteria

clinical_criteria:
    coding_criteria:

      Applicable To

      • • Pulmonary valve atresia with VSD

      Important Notes

      • • Document the presence of VSD when using this code.
      Ancillary Codes

      Additional codes that may be used with this diagnosis

      Q93.81

      DiGeorge syndrome

      Use when 22q11.2 deletion is confirmed.

      Q90.9

      Trisomy 21

      Use when trisomy 21 is confirmed.

      Frequently Asked Questions

      What is the ICD-10 code for Tetralogy of Fallot?

      The ICD-10 code for Tetralogy of Fallot is Q21.3. It is used when all four anatomical defects are present.

      How do you code Tetralogy of Fallot with pulmonary atresia?

      Use Q21.3 for Tetralogy of Fallot and Q22.0 for pulmonary valve atresia when both conditions are present.

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