2027 ICD-10-CM Diagnosis Code Q93.51Angelman syndrome
ICD-10-CM Codes›Q00-Q99›Q90-Q99›Q93
- Billable — Valid for Submission
- CC — Complication or Comorbidity
- POA Exempt
- Chronic Condition
Q93.51 is a billable ICD-10-CM diagnosis code for angelman syndrome. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 884. 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 68 closely related codes. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Chromosomal abnormalities.
Q93.51 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 148 for payment year 2027.
Code Identity
Code Classification
Present on Admission (POA)Billing
Q93.51 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Chromosomal abnormalities, not elsewhere classified (Q90-Q99).
Medicare Risk Adjustment (HCC)Billing
Q93.51 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model, but it maps to payment categories in the other CMS models shown below.
Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Angelman syndrome
- Angelman syndrome due to maternal monosomy 15q11q13
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Q93.51: its own notes plus those printed at block Q90-Q99 and Chapter 17. A note printed at a category, block or chapter applies to every code under it.
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.
- mitochondrial metabolic disorders (E88.4-)
Notes
General instructions on how these codes are used.
- 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 Q93.51, its category, or a range that includes it.
Excludes1 3
These codes carry an Excludes1 note naming Q93.51: they are not reported together with it, unless the two conditions are unrelated.
- E25 Adrenogenital disorders
- Block Q50-Q56 Congenital malformations of genital organs
- Z15 Genetic susceptibility to disease
Code First 1
These codes say to code first a condition named in the note, and Q93.51 is one of the conditions named.
- D84.81 Immunodeficiency due to conditions classified elsewhere
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Angelman syndrome Q93.51
Happy puppet syndrome Q93.51
Syndrome See Also: Disease;
Angelman Q93.51
happy puppet Q93.51
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Angelman Syndrome
a syndrome characterized by multiple abnormalities, intellectual disability, and movement disorders. present usually are skull and other abnormalities, frequent infantile spasms (spasms, infantile); easily provoked and prolonged paroxysms of laughter (hence happy); jerky puppetlike movements (hence puppet); continuous tongue protrusion; motor retardation; ataxia; muscle hypotonia; and a peculiar facies. it is associated with maternal deletions of chromosome 15q11-13 and other genetic abnormalities. (from am j med genet 1998 dec 4;80(4):385-90; hum mol genet 1999 jan;8(1):129-35)
Patient EducationClinical
Developmental Disabilities
Developmental disabilities are conditions that are usually present at birth. They can affect a child's growth and development. These conditions can cause physical, learning, language, or behavior issues. They can include:
The full article covers:
- What are developmental disabilities?
- What causes developmental disabilities?
- How are developmental disabilities diagnosed?
- What are the treatments for developmental disabilities?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code History & ChangesHistory
Replacement Q93.51 replaces the following previously assigned code(s):
- Q93.5 - Other deletions of part of a chromosome
Questions About Q93.51Overview
What is the ICD-10 code for angelman syndrome?
The ICD-10-CM code for angelman syndrome is Q93.51 (sometimes written as Q9351). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is Q93.51 (Other deletions of part of a chromosome) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report angelman syndrome on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Q93.51 group to?
When angelman syndrome is the principal diagnosis on an inpatient stay, it groups to MS-DRG 884 (organic Disturbances and Intellectual Disability), which carries a relative weight of 1.5998. Higher weights mean higher Medicare reimbursement.
Is Q93.51 a CC or MCC?
CMS lists Q93.51 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 68 closely related codes in its exclusion list.
Is Q93.51 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 angelman syndrome on inpatient claims. The code appears in the Chromosomal abnormalities, not elsewhere classified (Q90-Q99) range of the CMS exempt list.
Does Q93.51 risk-adjust for Medicare Advantage payment?
Not for Medicare Advantage: Q93.51 maps to no category in the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 148 (Mild or Unspecified Intellectual Disability/Developmental Disorder).