Q87.2

Q87.2: Congenital malformation syndromes predominantly involving limbs

Billable / specific codeICD-10-CMPOA exempt

Q87.2 is a billable, specific ICD-10-CM code for congenital malformation syndromes predominantly involving limbs. It is valid for submission on a claim.

Check Q87.2 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Holt-Oram syndrome
Klippel-Trenaunay-Weber syndrome
Nail patella syndrome
Rubinstein-Taybi syndrome
Sirenomelia syndrome
Thrombocytopenia with absent radius [TAR] syndrome
VATER syndrome

Other codes that can never be billed with Q87.2

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

Q67Congenital musculoskeletal deformities of head, face, spine and chest
Q74.1Congenital malformation of knee
Q75Other congenital malformations of skull and face bones
Q84.3Anonychia
Q89.7Multiple congenital malformations, not elsewhere classified

Risk adjustment

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

Medicare coverage

Q87.2 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
A56726Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
A57071Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)

Alphabetic index entries that lead here

Fong's syndrome(hereditary osteo-onychodysplasia)
Holt-Oram syndrome
Klippel-Trenaunay syndrome(-Weber)
Mietens' syndrome
Onycho-osteodysplasia
Osteo-onycho-arthro-dysplasia
Osteo-onychodysplasia, hereditary
Österreicher-Turner syndrome
Rubinstein-Taybi syndrome
Sirenomelia(syndrome)
TAR syndrome(thrombocytopenia with absent radius)
Taybi's syndrome

Code history

Unchanged in every release from FY2024 to FY2027.