Q45.3
Billable codeOther congenital malformations of pancreas and pancreatic duct
The ICD-10 code for other congenital malformations of pancreas and pancreatic duct is Q45.3.
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).
Also known as
Alternate wording, synonyms, or specific conditions that fall under this code, listed to help confirm you've picked the right one.
- Accessory pancreas
- Congenital malformation of pancreas or pancreatic duct NOS
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
- Q45.0Agenesis, aplasia and hypoplasia of pancreas
- Q45.1Annular pancreas
- Q45.2Congenital pancreatic cyst
- Q45.8Other specified congenital malformations of digestive system
- Q45.9Congenital malformation of digestive system, unspecified
- Q45.3Other congenital malformations of pancreas and pancreatic duct
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- 7517Approximate match
Associated MS-DRGs
Q45.3 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 393Other Digestive System Diagnoses with MCC
- DRG 394Other Digestive System Diagnoses with CC
- DRG 395Other Digestive System Diagnoses without CC/MCC
- DRG 438Disorders of Pancreas Except Malignancy with MCC
- DRG 439Disorders of Pancreas Except Malignancy with CC
- DRG 440Disorders of Pancreas Except Malignancy without CC/MCC