Q86.0

Q86.0: Fetal alcohol syndrome (dysmorphic)

Billable / specific codeICD-10-CMPOA exempt

Q86.0 is a billable, specific ICD-10-CM code for fetal alcohol syndrome (dysmorphic). It is valid for submission on a claim.

Check Q86.0 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above Q86.0

Not part of this code, but both may be coded when both are present.

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

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 Q86.0

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

P04.3Newborn affected by maternal use of alcohol

Risk adjustment

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

Medicare coverage

Q86.0 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57189Billing and Coding: Serum Magnesium

Alphabetic index entries that lead here

Dysmorphism›alcohol
Fetus, fetal›alcohol syndrome(dysmorphic)
Syndrome›fetal›alcohol(dysmorphic)
Syndrome›malformation, congenital, due to›alcohol

Code history

Unchanged in every release from FY2024 to FY2027.