2027 ICD-10-CM Diagnosis Code Q87.2Congenital malformation syndromes predominantly involving limbs

ICD-10-CM Codes›Q00-Q99›Q80-Q89›Q87

ICD-10-CM Q87.2
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Q87.2 is a billable ICD-10-CM diagnosis code for congenital malformation syndromes predominantly involving limbs. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 564 through 566. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 40 closely related codes. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified congenital anomalies.

Code Identity

ICD-10-CM Code
Q87.2
Billable Status
Yes — Valid for Submission
Code Describes
Congenital malformation syndromes predominantly involving limbs
Short Description
Congenital malformation syndromes predom involving limbs
Parent Code
Q87
Other specified congenital malformation syndromes affecting multiple systems

Code Classification

ChapterQ00-Q99Congenital malformations, deformations and chromosomal abnormalities
SectionQ80-Q89Other congenital malformations
CategoryQ87Other specified congenital malformation syndromes affecting multiple systems
This CodeQ87.2Congenital malformation syndromes predominantly involving limbs

Present on Admission (POA)Billing

Q87.2 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Other congenital malformations (Q80-Q89).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • 4q partial monosomy syndrome
  • 4q25 proximal deletion syndrome
  • Aase syndrome
  • Acrocardiofacial syndrome
  • Acrocephalopolysyndactyly
  • Acrocephalopolysyndactyly type III
  • Acrocephalosyndactyly
  • Acrocephalosyndactyly type V
  • Acrofrontofacionasal dysostosis type 2
  • Acropectoral syndrome
  • Acrorenal syndrome
  • Acrorenoocular syndrome
  • Adams-Oliver syndrome
  • ADULT syndrome
  • Amegakaryocytic thrombocytopenia
  • Anal atresia
  • Antecubital pterygium syndrome
  • Aplasia of bone of radius and/or ulna
  • Aplasia of radius
  • Ballard syndrome
  • Banki syndrome
  • Bent bone dysplasia group
  • Brachydactyly of toes
  • 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
  • Catel Manzke syndrome
  • Caudal appendage deafness syndrome
  • Chiari malformation
  • Chiari malformation type I
  • CHILD syndrome
  • Conductive hearing loss of left ear
  • Conductive hearing loss of right ear
  • Conductive hearing loss, bilateral
  • Congenital abnormal shape of fibula
  • Congenital abnormal shape of tibia
  • Congenital absence of radius
  • Congenital anomaly of caudal vertebra
  • Congenital anomaly of patella
  • Congenital cleft hand
  • Congenital complete absence of bilateral lower limbs
  • Congenital complete absence of bilateral upper limbs
  • Congenital complete absence of left lower limb
  • Congenital complete absence of left upper limb
  • Congenital complete absence of lower limb
  • Congenital complete absence of right lower limb
  • Congenital complete absence of right upper limb
  • Congenital complete absence of upper limb
  • Congenital hypoplasia of bone of pelvis
  • Congenital hypoplasia of femur
  • Congenital hypoplastic anemia
  • Congenital ichthyosiform erythroderma
  • Congenital microgastria
  • Congenital microgastria with limb reduction defect syndrome
  • Congenital mixed conductive and sensorineural hearing loss
  • Congenital radioulnar synostosis
  • Constitutional aplastic anemia
  • Constriction ring syndrome
  • Cooks syndrome
  • Cryptomicrotia brachydactyly syndrome
  • Curry Jones syndrome
  • Deletion of part of chromosome 4
  • Disorder characterized by multiple exostoses
  • Duplication of fibula
  • Duplication of lower limb bone
  • Dystopia canthorum
  • EN1-related dorsoventral syndrome
  • Epileptic encephalopathy
  • Escobar syndrome
  • Femoral hypoplasia - unusual facies syndrome
  • Fetal sirenomelia
  • Fibular dimelia diplopodia syndrome
  • Fuhrmann syndrome
  • Grebe syndrome
  • Guttmacher syndrome
  • Hand-foot-genital syndrome
  • Holt-Oram syndrome
  • Hypoplasia of thumb
  • Hypoplastic anemia
  • Ichthyosiform erythroderma
  • Jackson-Weiss syndrome
  • Karsch Neugebauer syndrome
  • Langer-Giedion syndrome
  • Levy-Hollister syndrome
  • Limb body wall complex
  • Limb reduction-ichthyosis syndrome
  • Long thumb brachydactyly syndrome
  • Mesomelic dysplasia of lower limb
  • Mesomelic dysplasia, digital anomalies, intellectual disability syndrome
  • Mietens syndrome
  • Mirror polydactyly, vertebral segmentation and limb defect syndrome
  • Mixed conductive AND sensorineural hearing loss
  • Mixed conductive and sensorineural hearing loss of left ear
  • Mixed conductive and sensorineural hearing loss of right ear
  • Mixed conductive and sensorineural hearing loss, bilateral
  • 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
  • PDE4D haploinsufficiency syndrome
  • Pelviscapular dysplasia
  • Pfeiffer syndrome type 1
  • Pfeiffer syndrome type 2
  • Pfeiffer syndrome type 3
  • PHAVER syndrome
  • Port-wine stain in Rubinstein-Taybi syndrome
  • Proximal deletion of long arm of chromosome 4
  • Radial aplasia-thrombocytopenia syndrome
  • RAPADILINO syndrome
  • Rubinstein-Taybi syndrome
  • Ruvalcaba syndrome
  • Saethre-Chotzen syndrome
  • Sagittal craniosynostosis
  • Severe intellectual disability, hypotonia, strabismus, coarse face, planovalgus syndrome
  • Short rib dysplasia
  • Sirenomelus
  • Split foot
  • Spondylocamptodactyly syndrome
  • STAR syndrome
  • Tel Hashomer camptodactyly syndrome
  • Telecanthus
  • Temple Baraitser syndrome
  • Temtamy preaxial brachydactyly syndrome
  • Tetraamelia with multiple malformation syndrome
  • Thoracomelic dysplasia
  • Townes syndrome
  • Trichorhinophalangeal dysplasia type I
  • Trichorhinophalangeal dysplasia type III
  • Trichorhinophalangeal syndrome
  • Trichorhinophalangeal syndrome type 1 and 3
  • VATER association
  • Waardenburg syndrome
  • Waardenburg syndrome type 3
  • WT limb blood syndrome
  • X-linked intellectual disability Stevenson type

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Q87.2: its own notes plus those printed at Q87 and Chapter 17. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

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

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 17 (Q00-QA1) Congenital malformations, deformations and chromosomal abnormalities applies to 900 codes
  • inborn errors of metabolism (E70-E88)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Q87 Other specified congenital malformation syndromes affecting multiple systems applies to 21 codes
  • code(s) to identify all associated manifestations

Notes

General instructions on how these codes are used.

From Chapter 17 (Q00-QA1) Congenital malformations, deformations and chromosomal abnormalities applies to 900 codes
  • Codes from this chapter are not for use on maternal records

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name Q87.2, its category, or a range that includes it.

Excludes1 5

These codes carry an Excludes1 note naming Q87.2: they are not reported together with it, unless the two conditions are unrelated.

  • Q74.1 Congenital malformation of knee
    nail patella syndrome (Q87.2)
  • Q84.3 Anonychia
    nail patella syndrome (Q87.2)
  • Q67 Congenital musculoskeletal deformities of head, face, spine and chest
    congenital malformation syndromes classified to Q87.- names Q87.-, which includes this code
  • Q75 Other congenital malformations of skull and face bones
    congenital malformation syndromes classified to Q87.- names Q87.-, which includes this code
  • Q89.7 Multiple congenital malformations, not elsewhere classified
    congenital malformation syndromes affecting multiple systems (Q87.-) names Q87.-, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming Q87.2: its condition is not part of those codes, and both may be reported when the patient has both.

  • N07 Hereditary nephropathy, not elsewhere classified
    nail patella syndrome (Q87.2)

Code First 1

These codes say to code first a condition named in the note, and Q87.2 is one of the conditions named.

  • D69.42 Congenital and hereditary thrombocytopenia purpura
    thrombocytopenia with absent radius (TAR syndrome) (Q87.2)

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MAL010
Other specified and unspecified congenital anomalies
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Klippel-Trenaunay-Weber Syndrome

    a congenital disorder that is characterized by a triad of capillary malformations (hemangioma), venous malformations (arteriovenous fistula), and soft tissue or bony hypertrophy of the limb. this syndrome is caused by mutations in the vg5q gene which encodes a strong angiogenesis stimulator.

  • Nail-Patella Syndrome

    a syndrome of multiple abnormalities characterized by the absence or hypoplasia of the patella and congenital nail dystrophy. it is a genetically determined autosomal dominant trait.

  • Rubinstein-Taybi Syndrome

    a chromosomal disorder characterized by mental retardation, broad thumbs, webbing of fingers and toes, beaked nose, short upper lip, pouting lower lip, agenesis of corpus callosum, large foramen magnum, keloid formation, pulmonary stenosis, vertebral anomalies, chest wall anomalies, sleep apnea, and megacolon. the disease has an autosomal dominant pattern of inheritance and is associated with deletions of the short arm of chromosome 16 (16p13.3).

Patient EducationClinical

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.

The full article covers:

  • What are birth defects?
  • What causes birth defects?
  • Who is at risk of having a baby with birth defects?
  • How are birth defects diagnosed?
  • What are the treatments for birth defects?
  • Can birth defects be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Q87.2 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
759.89 Specfied cong anomal NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Q87.2Overview

What is the ICD-10 code for congenital malformation syndromes predominantly involving limbs?

The ICD-10-CM code for congenital malformation syndromes predominantly involving limbs is Q87.2 (sometimes written as Q872). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is Q87.2 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report congenital malformation syndromes predominantly involving limbs on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does Q87.2 group to?

When congenital malformation syndromes predominantly involving limbs is the principal diagnosis on an inpatient stay, it groups to MS-DRG 564, 566, 565, with relative weights from 0.7374 to 1.4909 depending on complications. Higher weights mean higher Medicare reimbursement.

Is Q87.2 a CC or MCC?

CMS lists Q87.2 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 40 closely related codes in its exclusion list.

Is Q87.2 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for congenital malformation syndromes predominantly involving limbs on inpatient claims. The code appears in the Other congenital malformations (Q80-Q89) range of the CMS exempt list.