Q87.85 — MED13L syndrome
Q87.85 is a billable, specific ICD-10-CM code for med13l syndrome. It is valid for submission on a claim.
Code 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
Risk adjustment
Q87.85 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.
Medicare coverage
Q87.85 is named in 7 Medicare coverage policies — 7 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
How Q87.85 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Q87.85.
- 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)
Related codes at this level
Codes that share Q87.8. If Q87.85 is not quite right, the correct code is usually one of these.
Questions about Q87.85
- Is Q87.85 a billable ICD-10-CM code?
- Yes. Q87.85 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Q87.85 sit in the tabular list?
- Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Other congenital malformations (Q80-Q89).