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2025 ICD-10-CM code Q85.8

Other phakomatoses, not elsewhere classified.

Code Q85.8 should only be used when the specific type of phakomatosis cannot be identified.Always refer to the most recent ICD-10-CM guidelines for accurate coding practices.

Medical necessity for coding Q85.8 is established through comprehensive clinical evaluation confirming the presence of a phakomatosis, excluding other specified conditions.Appropriate diagnostic testing must support the diagnosis.

Diagnosis and management of phakomatoses, including clinical examination, genetic testing, and potential referral to specialists (e.g., ophthalmologist, neurosurgeon) for specific complications.

IMPORTANT:Excludes1:Meckel-Gruber syndrome (Q61.9); ataxia telangiectasia [Louis-Bar] (G11.3); familial dysautonomia [Riley-Day] (G90.1)

In simple words: This code is for a group of rare disorders causing noncancerous tumors in the skin, eyes, and brain.It includes conditions like Peutz-Jeghers, Sturge-Weber, and von Hippel-Lindau syndromes, but not others already listed separately.

This code classifies various phakomatoses (a group of genetic disorders characterized by benign tumors affecting the skin, eyes, and central nervous system) that are not specifically categorized elsewhere in the ICD-10-CM classification system.Examples include Peutz-Jeghers syndrome, Sturge-Weber syndrome, and von Hippel-Lindau syndrome.It excludes specific phakomatoses coded elsewhere, such as neurofibromatosis (Q85.0) and tuberous sclerosis (Q85.1).

Example 1: A patient presents with multiple skin lesions consistent with Peutz-Jeghers syndrome.Genetic testing confirms the diagnosis, and the code Q85.8 is assigned., A child is diagnosed with Sturge-Weber syndrome after exhibiting a port-wine stain birthmark and neurological symptoms. Q85.8 is used to reflect the diagnosis., An adult undergoes imaging studies revealing a retinal hemangioma and cerebellar hemangioblastoma, leading to a diagnosis of von Hippel-Lindau syndrome, and the use of Q85.8.

Detailed clinical findings describing the skin lesions, neurological symptoms, ophthalmological examination results (if applicable), and genetic test results (if performed).Imaging reports (e.g., MRI, CT scan) should also be included to support the diagnosis.

** This code is part of a broader category encompassing various congenital malformations.Careful differentiation from other specified conditions is crucial for accurate coding.

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