Is Q87.1 a billable ICD-10-CM code?

No. Q87.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Q87.1 sit in the tabular list?

Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Other congenital malformations (Q80-Q89).

What cannot be coded together with Q87.1?

Q87.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

Q87.1

Q87.1 — Congenital malformation syndromes predominantly associated with short stature

Non-billable headerICD-10-CM

Q87.1 is a non-billable header ICD-10-CM code for congenital malformation syndromes predominantly associated with short stature. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

Ellis-van Creveld syndrome (Q77.6)
Smith-Lemli-Opitz syndrome (E78.72)

Other codes that can never be billed with Q87.1

These codes carry an Excludes1 note pointing at Q87.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q87.1 alone.

Q81.0Epidermolysis bullosa simplex
Q96Turner's syndrome
E79Disorders of purine and pyrimidine metabolism
E23.3Hypothalamic dysfunction, not elsewhere classified
E34.3Short stature due to endocrine disorder

Risk adjustment

Q87.1 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.

Code to one of these instead Q87.1

2 child codes. Green means billable.

Related codes at this level

Codes that share Q87. If Q87.1 is not quite right, the correct code is usually one of these.

Questions about Q87.1

Is Q87.1 a billable ICD-10-CM code?: No. Q87.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Q87.1 sit in the tabular list?: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Other congenital malformations (Q80-Q89).
What cannot be coded together with Q87.1?: Q87.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.