Is Q75.052 a billable ICD-10-CM code?

Yes. Q75.052 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Q75.052 sit in the tabular list?

Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations and deformations of the musculoskeletal system (Q65-Q79).

What cannot be coded together with Q75.052?

Q75.052 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above Q75.052 (Q75) and apply to it just the same.

Q75.052

Q75.052 — Pansynostosis

Billable / specific codeICD-10-CMPOA exempt

Q75.052 is a billable, specific ICD-10-CM code for pansynostosis. It is valid for submission on a claim.

Excludes1 inherited from the categories above Q75.052

These are not written on Q75.052, but they bind it: a note on a category applies to every code beneath it. Billing Q75.052 with anything listed here is a denial.

Written on Q75 — Other congenital malformations of skull and face bones

congenital malformation of face NOS (Q18.-)
congenital malformation syndromes classified to Q87.-
dentofacial anomalies [including malocclusion] (M26.-)
musculoskeletal deformities of head and face (Q67.0-Q67.4)
skull defects associated with congenital anomalies of brain such as:
anencephaly (Q00.0)
encephalocele (Q01.-)
hydrocephalus (Q03.-)
microcephaly (Q02)

Other codes that can never be billed with Q75.052

These codes carry an Excludes1 note pointing at Q75.052. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q75.052 alone.

Q18Other congenital malformations of face and neck

Risk adjustment

Q75.052 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

Q75.052 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57204Billing and Coding: MRI and CT Scans of the Head and Neck

How Q75.052 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 Q75.052.

Pansynostosis

Code history

Q75.052 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share Q75.05. If Q75.052 is not quite right, the correct code is usually one of these.

Questions about Q75.052

Is Q75.052 a billable ICD-10-CM code?: Yes. Q75.052 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Q75.052 sit in the tabular list?: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations and deformations of the musculoskeletal system (Q65-Q79).
What cannot be coded together with Q75.052?: Q75.052 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above Q75.052 (Q75) and apply to it just the same.