ICD-10 Q89.0
Non-Billable HeaderCongenital absence and malformations of spleen
About ICD-10-CM Q89.0
ICD-10-CM code Q89.0 represents Congenital absence and malformations of spleen. This is a non-billable header code in the Congenital Malformations chapter (block Q89). The 2026 edition of ICD-10-CM Q89.0 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.
Type 1 Excludes
Pure excludes, these codes can never be coded together with Q89.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- isomerism of atrial appendages (with asplenia or polysplenia) (Q20.6)
Medicare LCD Coverage for Q89.0
Local Coverage Determinations (LCDs) from CMS MACs that list Q89.0 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 Q89.0.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Q89.0 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Q89.0
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 Q89.0
Other codes in section Q80-Q89 (Other congenital malformations).
ICD-10 Q89.0, Billing FAQ
Is ICD-10 code Q89.0 billable? +
No, Q89.0 is a non-billable header code. Use a more specific child code from block Q89 when submitting claims.
What codes are Type 1 Excludes for Q89.0? +
Type 1 Excludes (never code together with Q89.0): isomerism of atrial appendages (with asplenia or polysplenia) (Q20.6)
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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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