ICD10

ICD-10 Code Q21.1: Atrial septal defect

Q21.1 is an ICD-10 diagnosis entry used to group records related to Atrial septal defect. You may see this entry in coding references, medical records, or claims workflows when a broader diagnosis category is being reviewed before a more specific code is chosen. ICD-10 entries help standardize how diagnoses are organized for coding, reporting, analytics, and documentation. This code sits within the broader ICD-10 area for Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders (Q00-QA0).

What is this code?

ICD-10 entries help standardize how diagnoses are organized for coding, reporting, analytics, and documentation. This code sits within the broader ICD-10 area for Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders (Q00-QA0).

When is it used?

  • May be used when a clinician documents atrial septal defect in a patient's medical record.
  • May appear in hospital records, claims, referrals, and clinical documentation.
  • This code may act more like a grouping or parent code, so a more specific child code may be used in final documentation when available.

What it does not mean

  • A code alone does not explain severity, treatment plan, or outcome.
  • A medical code should not be treated as a substitute for a doctor's diagnosis or advice.
  • This entry may represent a broader category rather than the most specific billable code.

Code hierarchy

chapter
17Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders (Q00-QA0)
block
Q20-Q28Congenital malformations of the circulatory system
category
Q21Congenital malformations of cardiac septa
currentQ21

Official coding notes

Excludes2 (may code together if documented)
  • ostium primum atrial septal defect (type I) (Q21.20)

Where you may see this code

You may see this entry in coding references, medical records, or claims workflows when a broader diagnosis category is being reviewed before a more specific code is chosen.

Coding guidelines

Compatibility

Legacy code aligns to an official FY 2026 category. Frontend should resolve to the official category page and surface the billable child codes.
Legacy codes
Q21.1
Replacement codes
Q21.10 — Atrial septal defect, unspecifiedQ21.11 — Secundum atrial septal defectQ21.12 — Patent foramen ovaleQ21.13 — Coronary sinus atrial septal defectQ21.14 — Superior sinus venosus atrial septal defectQ21.15 — Inferior sinus venosus atrial septal defectQ21.16 — Sinus venosus atrial septal defect, unspecifiedQ21.19 — Other specified atrial septal defect

Common synonyms

Atrial septal defect

Frequently asked questions

Code details

CodeQ21.1
SystemICD10
Display nameAtrial septal defect
ChapterCongenital malformations, deformations, chromosomal abnormalities, and genetic disorders (Q00-QA0)
BlockCongenital malformations of the circulatory system

Flags

BillableNo
Valid clinical useNo

Source

SourceICD-10
Version2026-annual
Releaseannual
Year2026

About this content

This page is prepared by HealthAssure's clinical team using official coding standards from ICD-10. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.