Q86

Q86: Congenital malformation syndromes due to known exogenous causes, not elsewhere classified

Non-billable headerICD-10-CM

Q86 is a non-billable header ICD-10-CM code for congenital malformation syndromes due to known exogenous causes, not elsewhere classified. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

iodine-deficiency-related hypothyroidism (E00-E02)
nonteratogenic effects of substances transmitted via placenta or breast milk (P04.-)

Other codes that can never be billed with Q86

Their own Excludes1 notes name this code, so the conflict is not listed above.

P04.1Newborn affected by other maternal medication
P04.3Newborn affected by maternal use of alcohol

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead Q86

4 child codes. Green means billable.