Q87.5
Q87.5: Other congenital malformation syndromes with other skeletal changes
Billable / specific codeICD-10-CMPOA exempt
Q87.5 is a billable, specific ICD-10-CM code for other congenital malformation syndromes with other skeletal changes. It is valid for submission on a claim.
Check Q87.5 with the rest of the claim: free scrubberOther codes that can never be billed with Q87.5
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Q87.5 is named in 4 Medicare coverage policies: 4 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)
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Alphabetic index entries that lead here
- Malformation›affecting multiple systems with skeletal changes NEC
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under Q87
- Q87.0Congenital malformation syndromes predominantly affecting facial appearance
- 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
- Q87.8Other specified congenital malformation syndromes, not elsewhere classified
- Q87.ALoeys-Dietz syndrome