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    v1.0.28
    OpenPayerBilling CodesCongenital malformations of the respiratory systemICD-10-CM q32-congenital-malformations-trachea-bronchus
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    ICD-10-CM Code For Congenital Malformations Of Trachea And Bronchus: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group Q32 includes congenital structural anomalies of the trachea and bronchus such as tracheal atresia, tracheoesophageal fistula variants involving the trachea, and bronchial agenesis or stenosis that impair airway anatomy. These ICD-10-CM diagnosis codes are used to document congenital airway malformations, capturing the anatomic abnormality, laterality when applicable, and associated clinical complexity. Accurate coding within the ICD-10-CM Q32 group supports complete clinical documentation and appropriate reimbursement.

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    ICD-10-CM Q32: Congenital Malformations Of Trachea And Bronchus Overview

    The ICD-10-CM Q32 group includes congenital anomalies of the trachea and bronchi that affect the structure and function of the lower airway. These diagnoses target the respiratory system and commonly present in neonates and infants but may be identified at any age. Accurate coding matters for appropriate clinical documentation and can impact reimbursement through correct representation of complexity and resource use.

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    When to Use

    Use a code from ICD-10-CM Q32 when the primary diagnosis is a congenital malformation of the trachea or bronchus documented by clinical evaluation, imaging, surgical findings, or pathology. Assign codes that reflect the specific anomaly and laterality when documented to accurately represent clinical complexity.

    ICD-10-CM Codes

    5 rows

    ICD-10-CM CodeDescription
    Q32.0Congenital tracheomalacia
    Q32.1Other congenital malformations of trachea
    Q32.2Congenital bronchomalacia
    Q32.3Congenital stenosis of bronchus
    Q32.4Other congenital malformations of bronchus

    DRG Codes

    6 rows

    DRG CodeDescription
    011Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC
    012Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC
    013Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC
    154Other Ear, Nose, Mouth and Throat Diagnoses with MCC
    155Other Ear, Nose, Mouth and Throat Diagnoses with CC
    156Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCC

    Typical Clinical Scenarios

    • A newborn with noisy breathing, stridor, and intermittent cyanosis shortly after delivery is evaluated by neonatology and ENT. Flexible bronchoscopy demonstrates an intrinsic narrowing of the tracheal lumen consistent with congenital tracheal stenosis causing respiratory distress, and the condition is documented for surgical planning and ongoing respiratory management. Typical codes: Q32.0, Q32.1
    • A school-aged child with chronic cough, recurrent lower respiratory infections, and exertional wheeze is referred for pulmonology assessment; imaging and bronchoscopy reveal an isolated bronchial cartilage malformation resulting in focal bronchomalacia and impaired airway clearance. Because the airway malformation is congenital and explains the chronic respiratory symptoms and infection susceptibility, a congenital bronchial malformation code is assigned. Typical codes: Q32.2, Q32.3
    • An adult with a history of repaired esophageal atresia in infancy presents with chronic aspiration and recurrent pneumonia; evaluation identifies a congenital tracheoesophageal fistula contributing to ongoing aspiration and pulmonary complications. The congenital fistula is coded as the underlying structural cause when documenting the comorbidity driving the recurrent pulmonary disease. Typical codes: Q32.4

    Related Codes

    Q30-CONGENITAL-MALFORMATIONS-OF-NOSE

    ICD-10-CM Code For Congenital Malformations Of Nose: Group Overview

    Q31-CONGENITAL-MALFORMATIONS-OF-LARYNX

    ICD-10-CM Code For Congenital Malformations Of Larynx: Group Overview

    Q33-CONGENITAL-MALFORMATIONS-OF-LUNG

    ICD-10-CM Code For Congenital Malformations Of Lung: Group Overview

    Q34-OTHER-CONGENITAL-RESPIRATORY-MALFORMATIONS

    ICD-10-CM Code For Other Congenital Malformations Of Respiratory System: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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