E78.72
E78.72: Smith-Lemli-Opitz syndrome
Billable / specific codeICD-10-CM
E78.72 is a billable, specific ICD-10-CM code for smith-lemli-opitz syndrome. It is valid for submission on a claim.
Check E78.72 with the rest of the claim: free scrubberOther codes that can never be billed with E78.72
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Q87.1Congenital malformation syndromes predominantly associated with short stature
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
E78.72 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A56726Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
- A57071Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
Alphabetic index entries that lead here
- Smith-Lemli-Opitz syndrome
- Disorder›bile acid and cholesterol metabolism›Smith-Lemli-Opitz syndrome
- Disorder›cholesterol and bile acid metabolism›Smith-Lemli-Opitz syndrome
Code history
Unchanged in every release from FY2024 to FY2027.