Q40.1
Billable codeCongenital hiatus hernia
The ICD-10 code for congenital hiatus hernia is Q40.1.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
- congenital diaphragmatic hernia (Q79.0)
Also known as
Alternate wording, synonyms, or specific conditions that fall under this code, listed to help confirm you've picked the right one.
- Congenital displacement of cardia through esophageal hiatus
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- Q40.0Congenital hypertrophic pyloric stenosis
- Q40.2Other specified congenital malformations of stomach
- Q40.3Congenital malformation of stomach, unspecified
- Q40.8Other specified congenital malformations of upper alimentary tract
- Q40.9Congenital malformation of upper alimentary tract, unspecified
- Q40.1Congenital hiatus hernia
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- 7506
Associated MS-DRGs
Q40.1 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.
- DRG 314Other Circulatory System Diagnoses with MCC
- DRG 315Other Circulatory System Diagnoses with CC
- DRG 316Other Circulatory System Diagnoses without CC/MCC
- DRG 393Other Digestive System Diagnoses with MCC
- DRG 394Other Digestive System Diagnoses with CC
- DRG 395Other Digestive System Diagnoses without CC/MCC