Is Q99.81 a billable ICD-10-CM code?

No. Q99.81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Q99.81 sit in the tabular list?

Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Chromosomal abnormalities, not elsewhere classified (Q90-Q99).

Q99.81

Q99.81 — Usher syndrome

Non-billable headerICD-10-CM

Q99.81 is a non-billable header ICD-10-CM code for usher syndrome. It cannot be billed on its own: choose one of the more specific child codes below.

Use additional code

Add a secondary code to capture the detail described below.

code to identify any auditory and visual manifestations

Risk adjustment

Q99.81 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.

Code to one of these instead Q99.81

5 child codes. Green means billable.

Related codes at this level

Codes that share Q99.8. If Q99.81 is not quite right, the correct code is usually one of these.

Q99.89Other specified chromosome abnormalities

Questions about Q99.81

Is Q99.81 a billable ICD-10-CM code?: No. Q99.81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Q99.81 sit in the tabular list?: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Chromosomal abnormalities, not elsewhere classified (Q90-Q99).