2025 ICD-10-CM code Q87.43
(Revised) Effective Date: N/A Revision Date: N/A Congenital malformations - Other congenital malformations Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) Feed
Marfan syndrome with skeletal manifestations.
Modifiers may be appropriate in conjunction with other codes (e.g., procedures to address skeletal issues), depending on the specific circumstances of the encounter. Consult appropriate coding manuals and payer guidelines.
Medical necessity is established by the presence of clinical findings consistent with Marfan syndrome, including skeletal manifestations that require medical or surgical management.Documentation must support the severity and impact of the condition, demonstrating a need for intervention.
The clinical responsibility for managing Marfan syndrome involves a multidisciplinary approach.Geneticists confirm the diagnosis through genetic testing.Cardiologists assess and manage cardiovascular complications (aortic root dilation, mitral valve prolapse).Orthopedic surgeons address skeletal issues (scoliosis, pectus deformities).Ophthalmologists manage ocular problems (ectopia lentis, myopia). Other specialists may be involved depending on the individual's specific presentation.
- Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- Q80-Q89 (Other congenital malformations)
In simple words: Marfan syndrome is a condition where the body's connective tissue doesn't develop properly, leading to problems in several areas, especially bones. People with this condition are often tall and thin with unusually long arms, legs, fingers, and toes.They may also have curved spines, abnormal chest shapes, and flexible joints.
Marfan syndrome is a genetic disorder affecting connective tissue, primarily manifesting in skeletal, cardiovascular, ocular, and pulmonary systems.Code Q87.43 specifically addresses Marfan syndrome with prominent skeletal involvement.Skeletal features can include dolichostenomelia (excessive limb length), arachnodactyly (long, slender fingers and toes), pectus deformities (chest wall abnormalities), scoliosis (spinal curvature), joint hypermobility, and others. The severity and combination of these features vary widely among individuals.
Example 1: A 16-year-old presents with tall stature, arachnodactyly, and scoliosis. Genetic testing confirms Marfan syndrome. Code Q87.43 is used to bill for the diagnosis and management of the skeletal manifestations., A 30-year-old with a known history of Marfan syndrome presents with worsening chest pain and shortness of breath.Echocardiography reveals aortic root dilation.While the cardiovascular involvement is significant, code Q87.43 is used in conjunction with appropriate cardiovascular codes to reflect the skeletal manifestations., A 45-year-old with Marfan syndrome experiences progressive joint pain and reduced mobility due to hypermobility and subluxations.Code Q87.43 is used to bill for the diagnosis and management of skeletal manifestations, potentially alongside codes for specific joint-related treatments.
Detailed patient history, physical examination findings (including anthropometric measurements, assessment of skeletal features), genetic testing results (if performed), radiographic imaging (x-rays, MRI) to evaluate skeletal abnormalities (scoliosis, pectus deformities), echocardiogram to rule out cardiovascular complications.
** This code is for use only on patient records and not on maternal records.Always ensure complete and accurate documentation to support the coding choices.
- Payment Status: Active
- Modifier TC rule: Not applicable.Q87.43 is a diagnosis code, not a procedural code, so technical component modifiers are not relevant.
- Specialties:Genetics, Cardiology, Orthopedics, Ophthalmology
- Place of Service:Office, Hospital (Inpatient or Outpatient), Genetics clinic