Q87.0 — Congenital malformation syndromes predominantly affecting facial appearance
Q87.0 is a billable, specific ICD-10-CM code for congenital malformation syndromes predominantly affecting facial appearance. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Acrocephalopolysyndactyly
- Acrocephalosyndactyly [Apert]
- Cryptophthalmos syndrome
- Cyclopia
- Goldenhar syndrome
- Moebius syndrome
- Oro-facial-digital syndrome
- Robin syndrome
- Whistling face
Other codes that can never be billed with Q87.0
These codes carry an Excludes1 note pointing at Q87.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q87.0 alone.
Risk adjustment
Q87.0 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
Q87.0 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A56612Billing and Coding: CT of the Head
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
How Q87.0 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 Q87.0.
- Acrocephalopolysyndactyly
- Acrocephalosyndactyly
- Aglossia-adactylia syndrome
- Apert's syndrome
- Carpenter's syndrome
- Cyclopia, cyclops
- Cyclopism
- Dyscranio-pygo-phalangy
- Fraser's syndrome
- Freeman Sheldon syndrome
- Goldenhar syndrome(-Gorlin)
- Gorlin-Chaudry-Moss syndrome
Related codes at this level
Codes that share Q87. If Q87.0 is not quite right, the correct code is usually one of these.
- Q87.1Congenital malformation syndromes predominantly associated with short stature
- Q87.2Congenital malformation syndromes predominantly involving limbs
- Q87.3Congenital malformation syndromes involving early overgrowth
- Q87.4Marfan syndrome
- Q87.5Other congenital malformation syndromes with other skeletal changes
- Q87.8Other specified congenital malformation syndromes, not elsewhere classified
Questions about Q87.0
- Is Q87.0 a billable ICD-10-CM code?
- Yes. Q87.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Q87.0 sit in the tabular list?
- Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Other congenital malformations (Q80-Q89).