Q27.32 Arteriovenous malformation of vessel of lower limb

Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.

Applies from Q27 Other congenital malformations of peripheral vascular system

Excludes2 (not included here)

• anomalies of cerebral and precerebral vessels (Q28.0-Q28.3)
• anomalies of coronary vessels (Q24.5)
• anomalies of pulmonary artery (Q25.5-Q25.7)
• congenital retinal aneurysm (Q14.1)
• hemangioma and lymphangioma (D18.-)

Applies from Q27.3 Arteriovenous malformation (peripheral)

Applicable to

• Arteriovenous aneurysm

Excludes1 (never code together)

• acquired arteriovenous aneurysm (I77.0)

Excludes2 (not included here)

• arteriovenous malformation of cerebral vessels (Q28.2)
• arteriovenous malformation of precerebral vessels (Q28.0)

MS-DRG index

Defines the logic of DRG(s) 299-301 in MDC 05.

Approximate ICD-9-CM (GEMs)

• 747.64 Lower limb vessel anomaly

Code annotations containing back-references to Q27.32

Back-references to Q27.3

• Type 2 Excludes: I72 Other aneurysm ("aneurysm (of) arteriovenous NOS (Q27.3-)")
• Type 1 Excludes: I77.0 Arteriovenous fistula, acquired ("arteriovenous aneurysm NOS (Q27.3-)")
• Type 1 Excludes: Q27.8 Other specified congenital malformations of peripheral vascular system ("arteriovenous malformation (Q27.3-)")

Back-references to Q27

• Code Also: I27.21 Secondary pulmonary arterial hypertension ("congenital heart disease (Q20-Q28)")
• Type 2 Excludes: P29 Cardiovascular disorders originating in the perinatal period ("congenital malformations of the circulatory system (Q20-Q28)")
• Code Also: Z71.87 Encounter for pediatric-to-adult transition counseling ("congenital malformations of the circulatory system (Q20-Q28)")

Diagnosis Index entries for Q27.32

• Malformation (congenital) › arteriovenous, aneurysmatic (congenital) › peripheral › lower limb

Nearby codes

• Q27.1 Congenital renal artery stenosis
• Q27.2 Other congenital malformations of renal artery
• Q27.3 Arteriovenous malformation (peripheral)
• Q27.30 Arteriovenous malformation, site unspecified
• Q27.31 Arteriovenous malformation of vessel of upper limb
• Q27.32 Arteriovenous malformation of vessel of lower limb (this code)
• Q27.33 Arteriovenous malformation of digestive system vessel
• Q27.34 Arteriovenous malformation of renal vessel
• Q27.39 Arteriovenous malformation, other site
• Q27.4 Congenital phlebectasia
• Q27.8 Other specified congenital malformations of peripheral vascular system