2022 ICD-10-CM Code Q87.5
Other congenital malformation syndromes with other skeletal changes
Code Classification
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 2022 from October 01, 2021 through September 30, 2022 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.
Entries in the Index to Diseases and Injuries with references to Q87.5
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 shape of clavicle
- Congenital anomaly of subcutaneous tissue
- Congenital atresia of external auditory canal
- Congenital bowing of femur
- Congenital bowing of long bone
- Congenital corneal opacity
- Congenital deformity of clavicle
- Congenital insufficiency of mitral valve
- Congenital leg bone bowing
- Corneal leukoma
- Cutis verticis gyrata
- Dacryocystitis and osteopoikilosis syndrome
- FG syndrome
- Humeroradial synostosis
- Idiopathic osteolyses
- Intellectual disability, seizures, hypotonia, ophthalmologic, skeletal anomalies syndrome
- Jarcho-Levin syndrome
- Male hypergonadotropic hypogonadism, intellectual disability, skeletal anomaly syndrome
- Mandibuloacral dysostosis
- Mandibuloacral dysplasia with type A lipodystrophy
- Mandibuloacral dysplasia with type B lipodystrophy
- 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
- 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 V39.0 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 10/01/2021 through 09/30/2022.
| MS-DRG | MS-DRG Title | MCD | Relative Weight |
|---|---|---|---|
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | 08 | 1.5138 |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | 08 | 1.0063 |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | 08 | 0.7515 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
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
What are 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. Others, like heart disease, are found using special tests. Birth defects can range from mild to severe. How a birth defect affects a child's life depends mostly on which organ or body part is involved and how severe the defect is.
What causes birth defects?
For some birth defects, researchers know the cause. But for many birth defects, the exact cause is unknown. Researchers think that most birth defects are caused by a complex mix of factors, which can include
- Genetics. One or more genes might have a change or mutation that prevents them from working properly. For example, this happens in Fragile X syndrome. With some defects, a gene or part of the gene might be missing.
- Chromosomal problems. In some cases, a chromosome or part of a chromosome might be missing. This is what happens in Turner syndrome. In other cases, such as with Down syndrome, the child has an extra chromosome.
- Exposures to medicines, chemicals, or other toxic substances. For example, alcohol misuse can cause fetal alcohol spectrum disorders.
- Infections during pregnancy. For example, infection with Zika virus during pregnancy can cause a serious defect in the brain.
- Lack of certain nutrients. Not getting enough folic acid before and during pregnancy is a key factor in causing neural tube defects.
Who is at risk of having a baby with birth defects?
Certain factors may might increase the chances of having a baby with a birth defect, such as
- Smoking, drinking alcohol, or taking certain "street" drugs during pregnancy
- Having certain medical conditions, such as obesity or uncontrolled diabetes, before and during pregnancy
- Taking certain medicines
- Having someone in your family with a birth defect. To learn more about your risk of having a baby with a birth defect, you can talk with a genetic counselor,
- Being an older mother, typically over the age of 34 years
How are birth defects diagnosed?
Health care providers can diagnose some birth defects during pregnancy, using prenatal testing. That's why it important to get regular prenatal care.
Other birth defects may not be found until after the baby is born. Providers may find them through newborn screening. Some defects, such as club foot, are obvious right away. Other times, the health care provider may not discover a defect until later in life, when the child has symptoms.
What are the treatments for birth defects?
Children with birth defects often need special care and treatments. Because the symptoms and problems caused by birth defects vary, the treatments also vary. Possible treatments may include surgery, medicines, assistive devices, physical therapy, and speech therapy.
Often, children with birth defects need a variety of services and may need to see several specialists. The primary health care provider can coordinate the special care that the child needs.
Can birth defects be prevented?
Not all birth defects can be prevented. But there are things you can do before and during pregnancy to increase your chance of having a healthy baby:
- Start prenatal care as soon as you think you might be pregnant, and see your health care provider regularly during pregnancy
- Get 400 micrograms (mcg) of folic acid every day. If possible, you should start taking it at least one month before you get pregnant.
- Don't drink alcohol, smoke, or use "street" drugs
- Talk to your health care provider about any medicines you are taking or thinking about taking. This includes prescription and over-the-counter medicines, as well as dietary or herbal supplements.
- Learn how to prevent infections during pregnancy
- If you have any medical conditions, try to get them under control before you get pregnant
Centers for Disease Control and Prevention
[Learn More in MedlinePlus]
Related Codes
| ICD Code | Description | Valid for Submission |
|---|---|---|
| Q87 | Other specified congenital malformation syndromes affecting multiple systems | NON-BILLABLE CODE |
| Q87.0 | Congenital malformation syndromes predominantly affecting facial appearance | BILLABLE CODE |
| Q87.1 | Congenital malformation syndromes predominantly associated with short stature | NON-BILLABLE CODE |
| Q87.11 | Prader-Willi syndrome | BILLABLE CODE |
| Q87.19 | Other congenital malformation syndromes predominantly associated with short stature | BILLABLE CODE |
| Q87.2 | Congenital malformation syndromes predominantly involving limbs | BILLABLE CODE |
| Q87.3 | Congenital malformation syndromes involving early overgrowth | BILLABLE CODE |
| Q87.4 | Marfan's syndrome | NON-BILLABLE CODE |
| Q87.40 | Marfan's syndrome, unspecified | BILLABLE CODE |
| Q87.41 | Marfan's syndrome with cardiovascular manifestations | NON-BILLABLE CODE |
| Q87.410 | Marfan's syndrome with aortic dilation | BILLABLE CODE |
| Q87.418 | Marfan's syndrome with other cardiovascular manifestations | BILLABLE CODE |
| Q87.42 | Marfan's syndrome with ocular manifestations | BILLABLE CODE |
| Q87.43 | Marfan's syndrome with skeletal manifestation | BILLABLE CODE |
| Q87.8 | Other specified congenital malformation syndromes, not elsewhere classified | NON-BILLABLE CODE |
| Q87.81 | Alport syndrome | BILLABLE CODE |
| Q87.82 | Arterial tortuosity syndrome | BILLABLE CODE |
| Q87.89 | Other specified congenital malformation syndromes, not elsewhere classified | BILLABLE CODE |
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)
