ICD-10 Q25
Non-Billable HeaderCongenital malformations of great arteries
About ICD-10-CM Q25
ICD-10-CM code Q25 represents Congenital malformations of great arteries. This is a non-billable header code in the Congenital Malformations chapter (block Q25). The 2026 edition of ICD-10-CM Q25 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Medicare LCD Coverage for Q25
Local Coverage Determinations (LCDs) from CMS MACs that list Q25 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Q25.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Q25 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Q25
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To Q25
Other codes in section Q20-Q28 (Congenital malformations of the circulatory system).
ICD-10 Q25, Billing FAQ
Is ICD-10 code Q25 billable? +
No, Q25 is a non-billable header code. Use a more specific child code from block Q25 when submitting claims.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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