2026 ICD-10-CM Diagnosis Code Q87.85MED13L syndrome

ICD-10-CM Codes›Q00-Q99›Q80-Q89›Q87

ICD-10-CM Q87.85
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Q87.85 is a billable ICD-10-CM diagnosis code for MED13L syndrome. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 564 through 566. 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
Q87.85
Billable Status
Yes — Valid for Submission
Code Describes
MED13L syndrome
Short Description
MED13L syndrome
Same as the full description in the CMS dataset.
Parent Code
Q87.8
Other specified congenital malformation syndromes, not elsewhere classified

Code Classification

ChapterQ00-Q99Congenital malformations, deformations and chromosomal abnormalities
SectionQ80-Q89Other congenital malformations
CategoryQ87Other specified congenital malformation syndromes affecting multiple systems
This CodeQ87.85MED13L syndrome

Present on Admission (POA)Billing

Q87.85 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Asadollahi-Rauch syndrome
  • Mediator complex subunit 13L syndrome

Code Also

  • , if applicable, any associated manifestations such as:
  • autism spectrum disorder F84.0
  • congenital malformations of cardiac septa Q21
  • epilepsy and recurrent seizures G40
  • intellectual disability F70 F79

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Asadollahi-Rauch syndrome
    • MED13L(mediator complex subunit 13L) syndrome
    • Mediator complex subunit 13L(MED13L) syndrome
    • Syndrome
      • MED13L (mediator complex subunit 13L)
    • Syndrome
      • mediator complex subunit 13L (MED13L)

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

Code History & ChangesHistory

Replacement Q87.85 replaces the following previously assigned code(s):

  • Q87.89 - Oth congenital malformation syndromes, NEC
FY 2024AddedAdded to the ICD-10-CM code setEffective October 1, 2023.
FY 2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Q87.85Overview

Is Q87.85 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report MED13L syndrome on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does Q87.85 group to?

When MED13L syndrome is the principal diagnosis on an inpatient stay, it groups to MS-DRG 564, 565, 566, with relative weights from 0.7493 to 1.5436 depending on complications. Higher weights mean higher Medicare reimbursement.

Is Q87.85 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 MED13L syndrome on inpatient claims.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.