Q28.2 Arteriovenous malformation of cerebral vessels

Billable ICD-10-CM code, FY2026. Acts as a Major Complication or Comorbidity (MCC) as a secondary diagnosis. Exempt from present-on-admission (POA) reporting.

Applicable to

• Arteriovenous malformation of brain NOS
• Congenital arteriovenous cerebral aneurysm (nonruptured)

Applies from Q28 Other congenital malformations of circulatory system

Excludes1 (never code together)

• congenital aneurysm NOS (Q27.8)
• congenital coronary aneurysm (Q24.5)
• ruptured cerebral arteriovenous malformation (I60.8)
• ruptured malformation of precerebral vessels (I72.0)

Excludes2 (not included here)

• congenital peripheral aneurysm (Q27.8)
• congenital pulmonary aneurysm (Q25.79)
• congenital retinal aneurysm (Q14.1)

MS-DRG index

Defines the logic of DRG(s) 091-093 in MDC 01.

Approximate ICD-9-CM (GEMs)

• 747.81 Anomalies of cerebrovascular system (approximate)

Code annotations containing back-references to Q28.2

Back-references to Q28.2

• Type 2 Excludes: Q27 Other congenital malformations of peripheral vascular system ("anomalies of cerebral and precerebral vessels (Q28.0-Q28.3)")
• Type 2 Excludes: Q27.3 Arteriovenous malformation (peripheral) ("arteriovenous malformation of cerebral vessels (Q28.2)")

Back-references to Q28

• Code Also: I27.21 Secondary pulmonary arterial hypertension ("congenital heart disease (Q20-Q28)")
• Type 1 Excludes: I67.1 Cerebral aneurysm, nonruptured ("congenital cerebral aneurysm, nonruptured (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 Q28.2

• Aneurysm (anastomotic) (artery) (cirsoid) (diffuse) (false) (fusiform) (multiple) (saccular) › arteriovenous (congenital) › brain
• Aneurysm (anastomotic) (artery) (cirsoid) (diffuse) (false) (fusiform) (multiple) (saccular) › brain › arteriovenous (congenital) (nonruptured)
• Fistula (cutaneous) › arteriovenous (acquired) (nonruptured) › brain › congenital
• Fistula (cutaneous) › arteriovenous (acquired) (nonruptured) › congenital (peripheral) › brain
• Fistula (cutaneous) › brain › arteriovenous (acquired) › congenital
• Malformation (congenital) › arteriovenous, aneurysmatic (congenital) › brain
• Malformation (congenital) › arteriovenous, aneurysmatic (congenital) › cerebral
• Malformation (congenital) › brain (multiple) › arteriovenous

Nearby codes

• Q28 Other congenital malformations of circulatory system
• Q28.0 Arteriovenous malformation of precerebral vessels
• Q28.1 Other malformations of precerebral vessels
• Q28.2 Arteriovenous malformation of cerebral vessels (this code)
• Q28.3 Other malformations of cerebral vessels
• Q28.8 Other specified congenital malformations of circulatory system
• Q28.9 Congenital malformation of circulatory system, unspecified