Q87.89
Q87.89: Other specified congenital malformation syndromes, not elsewhere classified
Billable / specific codeICD-10-CMPOA exempt
Q87.89 is a billable, specific ICD-10-CM code for other specified congenital malformation syndromes, not elsewhere classified. It is valid for submission on a claim.
Check Q87.89 with the rest of the claim: free scrubberOther codes that can never be billed with Q87.89
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
Q87.89 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
- Birt-Hogg-Dube syndrome
- Cantrell's syndrome
- Cerebro-hepato-renal syndrome
- Syndrome›basal cell nevus
- Syndrome›Birt-Hogg-Dube syndrome
- Syndrome›cardiofaciocutaneous
- Syndrome›Glass
- Syndrome›Gorlin's
- Syndrome›Oliver-McFarlane
- Syndrome›SATB2-associated
- Syndrome›Snyder-Robinson
- Web, webbed›popliteal syndrome
Code history
Unchanged in every release from FY2024 to FY2027.