2021 ICD-10-CM Code Q87.5
Other congenital malformation syndromes with other skeletal changes
Valid for Submission
Q87.5 is a billable diagnosis code used to specify a medical diagnosis of other congenital malformation syndromes with other skeletal changes. The code Q87.5 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code Q87.5 might also be used to specify conditions or terms like 3-m syndrome, acromegaloid phenotype with cutis verticis gyrata and corneal leukoma, anophthalmia and megalocornea with cardiopathy and skeletal anomalies syndrome, antley-bixler syndrome, arachnodactyly , arachnodactyly with abnormal ossification and intellectual disability syndrome, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
| ICD-10: | Q87.5 |
| Short Description: | Oth congenital malformation syndromes w oth skeletal changes |
| Long Description: | Other congenital malformation syndromes with other skeletal changes |
Code Classification
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 Q87.5 are found in the index:
- - Malformation (congenital) - See Also: Anomaly;
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- 3-M syndrome
- Acromegaloid phenotype with cutis verticis gyrata and corneal leukoma
- Anophthalmia and megalocornea with cardiopathy and skeletal anomalies syndrome
- Antley-Bixler syndrome
- Arachnodactyly
- Arachnodactyly with abnormal ossification and intellectual disability syndrome
- Autosomal recessive distal osteolysis syndrome
- Baller-Gerold syndrome
- Beemer Ertbruggen syndrome
- BRESEK syndrome
- Cardiospondylocarpofacial syndrome
- CLOVE syndrome
- Combined immunodeficiency with faciooculoskeletal anomalies syndrome
- Conductive deafness, ptosis, skeletal anomalies syndrome
- Congenital abnormal fusion of humerus
- Congenital abnormal fusion of radius
- Congenital abnormal shape of clavicle
- Congenital abnormal shape of ulna
- Congenital anomaly of subcutaneous tissue
- Congenital atresia of external auditory canal
- Congenital bent ulna
- Congenital corneal opacity
- Congenital deformity of clavicle
- Corneal leukoma
- Cutis verticis gyrata
- Dacryocystitis and osteopoikilosis syndrome
- Deformity of ulna
- FG syndrome
- Humeroradial synostosis
- Idiopathic osteolyses
- Intellectual disability, seizures, hypotonia, ophthalmologic, skeletal anomalies syndrome
- Jarcho-Levin syndrome
- Kniest-Stickler dysplasia group
- Male hypergonadotropic hypogonadism, intellectual disability, skeletal anomaly syndrome
- Mandibuloacral dysostosis
- Metaphyseal dysostosis, intellectual disability, conductive deafness syndrome
- Multicentric carpotarsal osteolysis syndrome
- Osteopoikilosis
- Otopalatodigital syndrome spectrum disorder
- Otospondylomegaepiphyseal dysplasia
- Primary testicular failure
- Retinal pigment epithelial dystrophy
- Richieri Costa-da Silva syndrome
- Saldino-Mainzer dysplasia
- Scalp defect postaxial polydactyly syndrome
- Short stature, auditory canal atresia, mandibular hypoplasia, skeletal anomalies syndrome
- Skeletal dysplasia
- Spondylodysplasia
- Stenosis of lacrimal canaliculi
- Weissenbacher-Zweymuller syndrome
- X-linked intellectual disability, craniofacioskeletal syndrome
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code Q87.5 is grouped in the following groups for version MS-DRG V38.0 What are 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). applicable from 10/01/2020 through 09/30/2021.
- 564 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC - Relative Weight: 1.5138
- 565 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC - Relative Weight: 1.0063
- 566 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC - Relative Weight: 0.7515
Present on Admission (POA)
Q87.5 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. Review other POA exempt codes here .
CMS POA Indicator Options and Definitions
| POA Indicator Code | POA Reason for Code | CMS will pay the CC/MCC DRG? |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission. | YES |
| N | Diagnosis was not present at time of inpatient admission. | NO |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
| W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
| 1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert Q87.5 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code Q87.5 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 759.89 - Specfied cong anomal NEC (Approximate Flag)
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
- Intersex (Medical Encyclopedia)
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Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)