Is Q00.1 a billable ICD-10-CM code?

Yes. Q00.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Q00.1 sit in the tabular list?

Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of the nervous system (Q00-Q07).

Q00.1

Q00.1 — Craniorachischisis

Billable / specific codeICD-10-CMPOA exempt

Q00.1 is a billable, specific ICD-10-CM code for craniorachischisis. It is valid for submission on a claim.

Risk adjustment

Q00.1 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 182 Spinal Cord Disorders/Injuries0.478 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Medicare coverage

Q00.1 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
A57204Billing and Coding: MRI and CT Scans of the Head and Neck

How Q00.1 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Q00.1.

Craniorachischisis(totalis)

Related codes at this level

Codes that share Q00. If Q00.1 is not quite right, the correct code is usually one of these.

Questions about Q00.1

Is Q00.1 a billable ICD-10-CM code?: Yes. Q00.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Q00.1 sit in the tabular list?: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of the nervous system (Q00-Q07).