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Q20.0 ICD-10-CM Code: Common arterial trunk

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
1 inclusion term · 3 Excludes1
Risk adjustment
RxHCC V08 category 191

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.

  • MS-DRG 306 — CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC (MDC 05)
  • MS-DRG 307 — CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC (MDC 05)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for Q20.0 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Notes without a marker are published on Q20.0 itself; “inherited from” names the category or block whose note applies here.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Persistent truncus arteriosus

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Coder workflow for Q20.0

MedCoder structured workflow — derived from this code’s own official record

Before you code Q20.0

  1. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with Q20.0. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support a condition named in Q20.0’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewQ21.4, Q89.3

Consider Q20.0. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).

Official instructions as workflow

  • Excludes1 — check before selecting Q20.0(3 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with Q20.0: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareQ21.4, Q89.3

    See the official tabular notes · Guidelines I.A.12.a

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition Q20.0 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewQ21.4, Q89.3

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Common arterial trunk is a billable ICD-10-CM diagnosis code (Q20.0).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (6)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Verify Before Coding

  • MCC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name Q20.0 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes2 note: P29 — Cardiovascular disorders originating in the perinatal period (via Q20.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Referenced by 1 Use Additional Code instruction: Q87.88 — CTNNB1 syndrome (via Q20.-).

These codes instruct coders to additionally report this code when it applies.

Referenced by 2 Code Also instructions across 2 chapters: I27.21 — Secondary pulmonary arterial hypertension (via Q20.-), Z71.87 — Encounter for pediatric-to-adult transition counseling (via Q20.-).

These codes suggest coding this condition alongside when both are present.

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

FY2026 MS-DRG: MCC — Major Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 90 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 2 MS-DRGs: DRG 306 (MDC 05), DRG 307 (MDC 05).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):MAL001 — Cardiac and circulatory congenital anomalies (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical process (MS-DRG)

Acts as MCC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.

I23.0 — Hemopericardium as current complication following acute myocardial infarction, I23.1 — Atrial septal defect as current complication following acute myocardial infarction, I23.2 — Ventricular septal defect as current complication following acute myocardial infarction, I23.3 — Rupture of cardiac wall without hemopericardium as current complication following acute myocardial infarction, I23.6 — Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction, I23.7 — Postinfarction angina, I23.8 — Other current complications following acute myocardial infarction, I51.0 — Cardiac septal defect, acquired, P29.30 — Pulmonary hypertension of newborn, P29.38 — Other persistent fetal circulation, Q20.1 — Double outlet right ventricle, Q20.2 — Double outlet left ventricle, Q20.3 — Discordant ventriculoarterial connection, Q20.4 — Double inlet ventricle, Q20.5 — Discordant atrioventricular connection, Q20.6 — Isomerism of atrial appendages, Q20.8 — Other congenital malformations of cardiac chambers and connections, Q20.9 — Congenital malformation of cardiac chambers and connections, unspecified, Q21.0 — Ventricular septal defect, Q21.10 — Atrial septal defect, unspecified, +69 more

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Cardiac and circulatory congenital anomalies).

P09.5 — Abnormal findings on neonatal screening for critical congenital heart disease, Q20.1 — Double outlet right ventricle, Q20.2 — Double outlet left ventricle, Q20.3 — Discordant ventriculoarterial connection, Q20.4 — Double inlet ventricle, Q20.5 — Discordant atrioventricular connection, Q20.6 — Isomerism of atrial appendages, Q20.8 — Other congenital malformations of cardiac chambers and connections, Q20.9 — Congenital malformation of cardiac chambers and connections, unspecified, Q21.0 — Ventricular septal defect, Q21.1 — Atrial septal defect, Q21.10 — Atrial septal defect, unspecified, Q21.11 — Secundum atrial septal defect, Q21.12 — Patent foramen ovale, Q21.13 — Coronary sinus atrial septal defect, Q21.14 — Superior sinus venosus atrial septal defect, Q21.15 — Inferior sinus venosus atrial septal defect, Q21.16 — Sinus venosus atrial septal defect, unspecified, Q21.19 — Other specified atrial septal defect, Q21.2 — Atrioventricular septal defect, +87 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Persistence, persistent”, “Common”, “Malposition”; these codes share that main term but sit in a different category of the Tabular List.

Q14.0 — Congenital malformation of vitreous humor (hyaloid, artery), Q14.8 — Other congenital malformations of posterior segment of eye (hyaloid, system), Q15.8 — Other specified congenital malformations of eye (congenital, eye), Q16.3 — Congenital malformation of ear ossicles (congenital, ear, ossicles), Q16.9 — Congenital malformation of ear causing impairment of hearing, unspecified (congenital, auricle, causing impairment of hearing), Q17.4 — Misplaced ear (congenital, ear), Q17.8 — Other specified congenital malformations of ear (congenital, auditory canal), Q18.0 — Sinus, fistula and cyst of branchial cleft (branchial cleft NOS, cyst), Q18.2 — Other branchial cleft malformations (congenital, auricle, cervical), Q18.8 — Other specified congenital malformations of face and neck (congenital, facial features), Q21.11 — Secundum atrial septal defect (ostium, secundum), Q21.12 — Patent foramen ovale (foramen, ovale), Q21.19 — Other specified atrial septal defect (atrium), Q21.20 — Atrioventricular septal defect, unspecified as to partial or complete (ostium, primum), Q21.23 — Complete atrioventricular septal defect (atrioventricular canal), Q21.8 — Other congenital malformations of cardiac septa (bulbus cordis in left ventricle), Q24.0 — Dextrocardia (congenital, heart, dextrocardia), Q24.5 — Malformation of coronary vessels (congenital, artery, coronary), Q24.8 — Other specified congenital malformations of heart (congenital, heart), Q25.0 — Patent ductus arteriosus (ductus arteriosus), +97 more

Contextual Map

Every relationship of Q20.0 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run Q20.0 with these 5 related codes in Claim Check

Hierarchy

Excludes1

Referenced by Excludes2 notes

Referenced by Use Additional Code instructions

  • Q87.88 — CTNNB1 syndrome[Use Additional Code](via Q20.-): “congenital heart malformations (Q20.0-Q24.9)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Referenced by Code Also instructions

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 05 — Diseases and Disorders of the Circulatory System[MDC crossing]: “Diseases and Disorders of the Circulatory System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 17,209 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026

Index entries

  • Common, arterial trunk[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Common, truncus (arteriosus)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Malposition, congenital, arterial trunk[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Persistence, persistent (congenital), truncus arteriosus or communis[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Truncus, arteriosus (persistent)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Truncus, communis[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (9)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "Q20.0 — Common arterial trunk." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/q20.0-common-arterial-trunk

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Common arterial trunk

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to Q20.0 in its code family, with their registry titles.

View all codes in the Q20 family