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2025 ICD-10-CM code Q87.0

Congenital malformation syndromes predominantly affecting facial appearance.

Use additional codes to identify all associated manifestations of the syndrome.

Medical necessity is established by the presence of a congenital malformation syndrome primarily affecting facial appearance. The documentation should support the diagnosis and the need for medical intervention or management.

In simple words: This code represents a group of birth defects that mainly affect the face.

This code encompasses various syndromes where the primary feature is a congenital malformation affecting the face.These include conditions like Acrocephalopolysyndactyly, Acrocephalosyndactyly (Apert), Cryptophthalmos syndrome, Cyclopia, Goldenhar syndrome, Moebius syndrome, Oro-facial-digital syndrome, Robin syndrome, and Whistling face.

Example 1: A newborn presents with craniosynostosis, midface hypoplasia, and syndactyly of the fingers and toes, consistent with Apert syndrome. The diagnosis is confirmed through genetic testing. Code Q87.0 is used., An infant is noted to have unilateral microtia, preauricular skin tags, and a small coloboma of the eye, characteristic of Goldenhar syndrome. Code Q87.0 is assigned., A child exhibits facial paralysis affecting both sides of the face, along with other cranial nerve abnormalities, indicating Moebius syndrome. Code Q87.0 is applied.

Documentation should clearly specify the syndrome diagnosed, along with a detailed description of the facial malformations observed. Supporting clinical findings, imaging studies, and genetic test results should also be included.

** This code is not for use on maternal records. It should be used to code the congenital condition on the infant's record.

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