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2025 ICD-10-CM code Q87.19

Other congenital malformation syndromes predominantly associated with short stature.

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

Medical necessity for this code stems from the need to identify the underlying congenital malformation syndrome causing short stature. This allows for appropriate management, prognosis, and genetic counseling for the family.

In simple words: This code is used when a child has a genetic condition that mainly affects their growth, making them shorter than expected.Some examples include Aarskog, Cockayne, De Lange, Dubowitz, Noonan, Robinow-Silverman-Smith, Russell-Silver, and Seckel syndromes.

This code encompasses several specific syndromes including Aarskog syndrome, Cockayne syndrome, De Lange syndrome, Dubowitz syndrome, Noonan syndrome, Robinow-Silverman-Smith syndrome, Russell-Silver syndrome, and Seckel syndrome, all of which are characterized by short stature as a prominent feature.

Example 1: A pediatrician examines a newborn with distinct facial features and significantly shorter limbs than average for their gestational age. After genetic testing confirms Aarskog syndrome, the pediatrician documents the diagnosis using Q87.19., A child presents with developmental delays, sensitivity to sunlight, and a failure to thrive, resulting in short stature. After extensive testing, Cockayne syndrome is diagnosed, and the code Q87.19 is used for medical record documentation and insurance purposes., A young patient exhibits characteristic facial features, intellectual disability, and significantly delayed growth. Genetic testing reveals a diagnosis of De Lange syndrome. The code Q87.19 is used to capture the underlying condition responsible for the short stature and associated abnormalities.

Thorough clinical examination findings detailing the dysmorphic features and growth parameters. Genetic testing results confirming the specific syndrome. Any associated manifestations or complications should also be documented.

** The code should not be used on the maternal record if the diagnosis is made prenatally. This code specifically refers to syndromes where short stature is a predominant feature. If the short stature is due to other causes, other more specific ICD-10 codes should be utilized.

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