Q87.85
Q87.85: MED13L syndrome
Billable / specific codeICD-10-CMPOA exempt
Q87.85 is a billable, specific ICD-10-CM code for med13l syndrome. It is valid for submission on a claim.
Check Q87.85 with the rest of the claim: free scrubberCode also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Asadollahi-Rauch syndrome
- Mediator complex subunit 13L syndrome
Other codes that can never be billed with Q87.85
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
Q87.85 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56612Billing and Coding: CT of the Head
- A56625Billing and Coding: Echocardiography
Alphabetic index entries that lead here
- Asadollahi-Rauch syndrome
- MED13L syndrome(mediator complex subunit 13L)
- Mediator complex subunit 13L syndrome(MED13L)
- Syndrome›MED13L(mediator complex subunit 13L)
- Syndrome›mediator complex subunit 13L(MED13L)
Code history
Unchanged in every release from FY2024 to FY2027.