Q85.82
Q85.82: Other Cowden syndrome
Billable / specific codeICD-10-CMPOA exempt
Q85.82 is a billable, specific ICD-10-CM code for other cowden syndrome. It is valid for submission on a claim.
Check Q85.82 with the rest of the claim: free scrubberExcludes1 inherited from the categories above Q85.82
A category’s note binds every code beneath it.
Risk adjustment
Q85.82 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
Q85.82 is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
- A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
- A56461Billing and Coding: Endoscopy by Capsule
- A56726Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
Alphabetic index entries that lead here
- Syndrome›Cowden›specified NEC
Code history
Unchanged in every release from FY2024 to FY2027.