Q32 vs Q33.4
Q32 (Congenital malformations of trachea and bronchus) compared with Q33.4 (Congenital bronchiectasis), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. Q32 carries an Excludes1 note covering Q33.4: “congenital bronchiectasis (Q33.4)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| Q32Congenital malformations of trachea and bronchus | Q33.4Congenital bronchiectasis | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99) | Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99) |
| Definition | Congenital malformations of trachea and bronchus is a non-billable ICD-10-CM category code (Q32). | Congenital bronchiectasis is a billable ICD-10-CM diagnosis code (Q33.4). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources