Q85.00
Q85.00: Neurofibromatosis, unspecified
Billable / specific codeICD-10-CMPOA exempt
Q85.00 is a billable, specific ICD-10-CM code for neurofibromatosis, unspecified. It is valid for submission on a claim.
Check Q85.00 with the rest of the claim: free scrubberRisk adjustment
Q85.00 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 23 Prostate, Breast, and Other Cancers and Tumors0.186 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
Q85.00 is named in 18 Medicare coverage policies: 18 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A56462Billing and Coding: Erythropoiesis Stimulating Agents (ESA)
- A56551Billing and Coding: Visual Fields Testing
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
Alphabetic index entries that lead here
- Neurofibromatosis(multiple) (nonmalignant)
Code history
Unchanged in every release from FY2024 to FY2027.