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2025 ICD-10-CM code Q87

Other specified congenital malformation syndromes affecting multiple systems.Additional codes should be used to identify all associated manifestations.

Always use additional codes to fully describe all associated manifestations.Consult the official ICD-10-CM coding guidelines for proper sequencing and application.

Modifiers may be applicable depending on the specific circumstances of the encounter and the additional codes used.Consult the official CPT modifier guidelines.

Medical necessity is established by the presence of multiple congenital anomalies requiring diagnostic evaluation, treatment, and ongoing medical management. Documentation must support the diagnosis and justify the need for the level of care provided.

The clinical responsibility rests with the physician diagnosing and managing the congenital malformations. This involves a thorough examination, diagnostic testing (e.g., genetic testing, imaging), and development of a comprehensive treatment plan addressing the multiple affected systems.

IMPORTANT:Q87.0 (Congenital malformation syndromes predominantly affecting facial appearance), Q87.1 (Congenital malformation syndromes predominantly associated with short stature).Additional codes are necessary to fully document all associated manifestations.

In simple words: This code is for babies born with a combination of multiple birth defects that don't fit into other, more specific categories.Doctors will use additional codes to explain exactly what birth defects the baby has.

This ICD-10-CM code classifies congenital malformation syndromes that affect multiple body systems but do not fit into more specific categories.It is a broad category requiring the use of additional codes to specify the individual malformations present.The syndromes included here are characterized by a combination of birth defects impacting various organ systems.

Example 1: A newborn presents with craniofacial dysmorphism, cardiac defects, and limb abnormalities.Code Q87 is used, along with additional codes specifying each individual anomaly., A child is diagnosed with a complex syndrome involving multiple skeletal abnormalities, intellectual disability, and hearing impairment.Q87 is assigned, with further codes detailing the specific skeletal malformations, the level of intellectual disability, and the type of hearing loss., An infant exhibits a combination of urogenital malformations, gastrointestinal anomalies, and respiratory problems. Q87 is applied, along with specific codes for each of these defects.

Detailed clinical descriptions of all affected body systems, including imaging results (e.g., X-rays, ultrasounds), genetic test reports, and any relevant specialist consultations (e.g., cardiology, orthopedics).

** This code is for use only on the patient's record, not the mother's.It is crucial to thoroughly document all associated findings to ensure accurate coding and billing.Inborn errors of metabolism are excluded from this category (E70-E88).

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