Not Valid for Submission
Q01 is a "header" nonspecific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of encephalocele. The code is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding for Encephalocele
Header codes like Q01 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for encephalocele:
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Q01:
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- Arnold-Chiari syndrome, type III
- hydromeningocele, cranial
- meningocele, cerebral
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- Meckel-Gruber syndrome Q61.9
- ENCEPHALOCELE-. brain tissue herniation through a congenital or acquired defect in the skull. the majority of congenital encephaloceles occur in the occipital or frontal regions. clinical features include a protuberant mass that may be pulsatile. the quantity and location of protruding neural tissue determines the type and degree of neurologic deficit. visual defects psychomotor developmental delay and persistent motor deficits frequently occur.
Information for Patients
Neural Tube Defects
Neural tube defects are birth defects of the brain, spine, or spinal cord. They happen in the first month of pregnancy, often before a woman even knows that she is pregnant. The two most common neural tube defects are spina bifida and anencephaly. In spina bifida, the fetal spinal column doesn't close completely. There is usually nerve damage that causes at least some paralysis of the legs. In anencephaly, most of the brain and skull do not develop. Babies with anencephaly are usually either stillborn or die shortly after birth. Another type of defect, Chiari malformation, causes the brain tissue to extend into the spinal canal.
The exact causes of neural tube defects aren't known. You're at greater risk of having an infant with a neural tube defect if you
- Have obesity
- Have poorly controlled diabetes
- Take certain antiseizure medicines
Getting enough folic acid, a type of B vitamin, before and during pregnancy prevents most neural tube defects.
Neural tube defects are usually diagnosed before the infant is born, through lab or imaging tests. There is no cure for neural tube defects. The nerve damage and loss of function that are present at birth are usually permanent. However, a variety of treatments can sometimes prevent further damage and help with complications.
NIH: National Institute of Child Health and Human Development
- Anencephaly (Medical Encyclopedia)