ICD-10 Code Q87.2

Congenital malformation syndromes predominantly involving limbs

Version 2019 Billable Code POA Exempt

Valid for Submission

Q87.2 is a billable code used to specify a medical diagnosis of congenital malformation syndromes predominantly involving limbs. The code is valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10: Q87.2
Short Description:Congenital malformation syndromes predom involving limbs
Long Description:Congenital malformation syndromes predominantly involving limbs

Code Classification

  • Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • Other congenital malformations (Q80-Q89)
      • Oth congenital malform syndromes affecting multiple systems (Q87)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (first year ICD-10-CM implemented into the HIPAA mandated code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Medical Professionals

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). The diagnosis code Q87.2 is grouped in the following groups for version MS-DRG V37.0 applicable from 10/01/2020 through 09/30/2020.


Convert Q87.2 to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • 759.89 - Specfied cong anomal NEC (Approximate Flag)

Present on Admission (POA)

Q87.2 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO


The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Aase syndrome
  • Acrofrontofacionasal dysostosis
  • Acrofrontofacionasal dysostosis type 2
  • Acropectoral syndrome
  • Acrorenal syndrome
  • Acrorenoocular syndrome
  • Adams-Oliver syndrome
  • ADULT syndrome
  • Amegakaryocytic thrombocytopenia
  • Amelia
  • Ballard syndrome
  • Banki syndrome
  • Bent bone dysplasia group
  • Brachydactyly of hand
  • Brachymesophalangia
  • Campomelia Cumming type
  • Camptodactyly and tall stature with scoliosis and hearing loss syndrome
  • Camptodactyly with fibrous tissue hyperplasia and skeletal dysplasia syndrome
  • Capra DeMarco syndrome
  • Carpenter Waziri syndrome
  • Catel Manzke syndrome
  • Caudal appendage deafness syndrome
  • Chiari malformation
  • Chiari malformation type I
  • Child syndrome
  • Congenital absence of lower limb
  • Congenital anomaly of caudal vertebra
  • Congenital complete absence of upper limb
  • Congenital malformation syndromes involving limbs
  • Congenital malposition of testis
  • Congenital microgastria
  • Congenital microgastria with limb reduction defect syndrome
  • Constitutional aplastic anemia
  • Constriction ring syndrome
  • Cooks syndrome
  • Cryptomicrotia brachydactyly syndrome
  • Curry Jones syndrome
  • Deformity due to amniotic band
  • Disorder characterized by multiple exostoses
  • Duplication of fibula
  • Duplication of lower limb bone
  • Ectodermal dysplasia with tooth-nail defects
  • Escobar syndrome
  • Femoral hypoplasia - unusual facies syndrome
  • Fibular dimelia diplopodia syndrome
  • Fuhrmann syndrome
  • Grebe syndrome
  • Guttmacher syndrome
  • Holt-Oram syndrome
  • Hypoplasia of thumb
  • Karsch Neugebauer syndrome
  • Klein-Waardenberg's syndrome
  • Langer-Giedion syndrome
  • Levy-Hollister syndrome
  • Limb body wall complex
  • Limb reduction-ichthyosis syndrome
  • Long thumb brachydactyly syndrome
  • Malformation association
  • Mietens syndrome
  • Mirror polydactyly, vertebral segmentation and limb defect syndrome
  • Multiple malformation syndrome with facial-limb defects as major feature
  • Multiple malformation syndrome with limb defect as major feature
  • Multiple malformation syndrome, small stature, without skeletal dysplasia
  • Nager syndrome
  • Nail-patella syndrome
  • Nievergelt's syndrome
  • Oculootoradial syndrome
  • Patella dysplasia
  • Pelviscapular dysplasia
  • PHAVER syndrome
  • Port-wine stain in Rubinstein-Taybi syndrome
  • Radial aplasia-thrombocytopenia syndrome
  • RAPADILINO syndrome
  • Rubinstein-Taybi syndrome
  • Ruvalcaba syndrome
  • Sirenomelus
  • Split foot
  • Spondylocamptodactyly syndrome
  • Spondylodysplastic group
  • Tel Hashomer camptodactyly syndrome
  • Temple Baraitser syndrome
  • Temtamy preaxial brachydactyly syndrome
  • Tetraamelia with multiple malformation syndrome
  • Townes syndrome
  • Trichorhinophalangeal dysplasia type I
  • Trichorhinophalangeal dysplasia type III
  • Trichorhinophalangeal syndrome
  • Undescended testicle
  • VATER association
  • WT limb blood syndrome

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Q87.2 are found in the index:

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 for the code Q87.2 are found in the tabular index:

  • Inclusion Terms:
    • Holt-Oram syndrome
    • Klippel-Trenaunay-Weber syndrome
    • Nail patella syndrome
    • Rubinstein-Taybi syndrome
    • Sirenomelia syndrome
    • Thrombocytopenia WITH absent radius [TAR] syndrome
    • VATER syndrome

Information for Patients

Birth Defects

A birth defect is a problem that happens while a baby is developing in the mother's body. Most birth defects happen during the first 3 months of pregnancy. One out of every 33 babies in the United States is born with a birth defect.

A birth defect may affect how the body looks, works or both. Some birth defects like cleft lip or neural tube defects are structural problems that can be easy to see. To find others, like heart defects, doctors use special tests. Birth defects can range from mild to severe. Causes can include

  • Genetics
  • Exposures to medicines or chemicals. For example, alcohol abuse can cause fetal alcohol syndrome.
  • Infections during pregnancy
  • Certain medicines. Before you get pregnant, talk to your health care provider about any medicines you take.
  • Not getting enough of certain nutrients. For example, not getting enough folic acid before and during pregnancy is a key factor in causing neural tube defects.

For most birth defects, the cause is unknown.

Health care providers can diagnose certain birth defects during pregnancy, with prenatal tests. That's why it important to get regular prenatal care. Other birth defects may not be found until after the baby is born. Sometimes the defect is obvious right away. Other times, the health care provider may not discover it until later in life.

Babies with birth defects often need special care and treatments. The treatments may include surgery, medicines, assistive devices, and therapies.

Centers for Disease Control and Prevention

[Learn More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Index of Diseases and Injuries Definitions

  • And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
  • Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • Type 1 Excludes Notes - 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.
  • Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
  • NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
  • See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
  • See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
  • 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.