2025 ICD-10-CM code Q07
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Congenital malformations - Other congenital malformations of nervous system Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) Feed
Other congenital malformations of the nervous system.
Modifiers may be applicable depending on the specific circumstances of the diagnosis and treatment.Consult the guidelines and payer-specific rules to determine whether modifiers are necessary.
Medical necessity is established by the presence of a congenital malformation of the nervous system requiring medical attention. The specific treatment plan will depend on the severity and type of malformation, requiring clinical justification for chosen interventions.
The clinical responsibility for this code falls upon the physician diagnosing and managing the congenital nervous system malformation.This might involve neurologists, neurosurgeons, geneticists, or other specialists depending on the nature and severity of the condition.
- Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- Q00-Q99 (Congenital malformations, deformations and chromosomal abnormalities); Q00-Q07 (Congenital malformations of the nervous system)
In simple words: This code describes birth defects affecting the brain, spinal cord, or nerves that aren't covered by other, more specific codes.
This ICD-10-CM code encompasses a range of congenital malformations affecting the nervous system that are not otherwise specified by more specific codes within the Q00-Q07 range.It includes various structural abnormalities of the brain, spinal cord, and peripheral nerves that are present at birth.This code should be used when a more precise diagnosis is not available or applicable.
Example 1: A newborn infant is diagnosed with an unspecified neural tube defect that requires further investigation to determine the exact type., A child presents with symptoms suggestive of a rare congenital nervous system malformation which remains unclassified after extensive testing., A patient with a complex neurological condition resulting from multiple congenital abnormalities, where Q07 is used as a secondary or contributing diagnosis.
Detailed medical history including prenatal care, family history of neurological disorders.Imaging studies (e.g., MRI, CT scans) and/or genetic testing results are crucial for supporting the diagnosis.Neurological examination findings should be fully documented.
** This code is intended for use when the specific type of congenital nervous system malformation is unknown or cannot be further specified after appropriate clinical evaluation.Always strive to use the most precise code possible based on available clinical documentation.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Neonatology, Neurology, Neurosurgery, Genetics
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office