Effective from
- Inherited rules changed
Congenital absence, atresia and stenosis of rectum without fistula
Billable diagnosis code
CDC/NCHS · FY2019Coverage depends on the payer, service and applicable policy. A billable code does not guarantee payment.
For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.
Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.
Official coding guidelines → · CMS ↗Grouping depends on the complete encounter and CMS grouper logic.
2026-04-01 – 2026-09-30
CMS · MS-DRG 43.1First observed · 2015-10-01
Latest recorded change · FY2019
Effective from
Congenital absence, atresia and stenosis of rectum without fistula
Billable diagnosis code
CDC/NCHS · FY2019| All editions | Effective from | Code history |
|---|---|---|
| FY2016 | 2015-10-01 | First observed |
| FY2017 | 2016-10-01 | No tabular change |
| FY2018 | 2017-10-01 | No tabular change |
| FY2019 | 2018-10-01 | Inherited rules changed |
| FY2020 | 2019-10-01 | No tabular change |
| FY2020 · April | 2020-04-01 | No tabular change |
| FY2021 | 2020-10-01 | No tabular change |
| FY2021 · 01-01 | 2021-01-01 | No tabular change |
| FY2022 | 2021-10-01 | No tabular change |
| FY2022 · 04-01 | 2022-04-01 | No tabular change |
| FY2023 | 2022-10-01 | No tabular change |
| FY2023 · 04-01 | 2023-04-01 | No tabular change |
| FY2024 | 2023-10-01 | No tabular change |
| FY2024 · 04-01 | 2024-04-01 | No tabular change |
| FY2025 | 2024-10-01 | No tabular change |
| FY2025 · 04-01 | 2025-04-01 | No tabular change |
| FY2026 | 2025-10-01 | No tabular change |
| FY2026 · April | 2026-04-01 | No tabular change |
| FY2027 | 2026-10-01 | No tabular change |
Historical mapping only; not an automatic code substitution.
Imperforate rectum
Codes from this chapter are not for use on maternal records
congenital obstruction, occlusion and stricture of large intestine
Other entries in the same category; these are not automatic substitutes.
| Code | Description | Category · further specificity required |
|---|---|---|
| Q42.0 | Congenital absence, atresia and stenosis of rectum with fistula | Billable / specific |
| Q42.2 | Congenital absence, atresia and stenosis of anus with fistula | Billable / specific |
| Q42.3 | Congenital absence, atresia and stenosis of anus without fistula | Billable / specific |
| Q42.8 | Congenital absence, atresia and stenosis of other parts of large intestine | Billable / specific |
| Q42.9 | Congenital absence, atresia and stenosis of large intestine, part unspecified | Billable / specific |
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