Q87.81

Q87.81: Alport syndrome

Billable / specific codeICD-10-CMPOA exempt

Q87.81 is a billable, specific ICD-10-CM code for alport syndrome. It is valid for submission on a claim.

Check Q87.81 with the rest of the claim: free scrubber

Use additional code

Add a secondary code to capture the detail described below.

code to identify stage of chronic kidney disease (N18.1-N18.6)

Excludes1 inherited from the categories above Q87.81

A category’s note binds every code beneath it.

Written on Q87.8: Other specified congenital malformation syndromes, not elsewhere classified

Zellweger syndrome (E71.510)

Other codes that can never be billed with Q87.81

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

Q67Congenital musculoskeletal deformities of head, face, spine and chest
Q75Other congenital malformations of skull and face bones
Q89.7Multiple congenital malformations, not elsewhere classified

Risk adjustment

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

Medicare coverage

Q87.81 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)