2026 ICD-10-CM Diagnosis Code Q99.812Usher syndrome, type 2
Q99.812 is a billable ICD-10-CM diagnosis code for usher syndrome, type 2. 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.
Code Identity
Code Classification
Present on Admission (POA)Billing
Q99.812 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Index to Diseases and InjuriesGuidance
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Syndrome
- usher
- type 2
Clinical InformationClinical
Usher Syndrome Type 2
a syndrome characterized by congenital, bilateral sensorineural hearing loss that is mild to moderate in the low frequencies and severe to profound in the higher frequencies, no abnormalities in the vestibular system, and retinitis pigmentosa.Usher Syndrome Type 2C|USH2C
an autosomal recessive sub-type of usher syndrome caused by homozygous or compound heterozygous mutation(s) in the adgrv1 gene, encoding adhesion g protein-coupled receptor v1. it may also result from biallelic digenic mutation(s) in adgrv1 and pdzd7, which encodes pdz domain-containing protein 7.
Code History & ChangesHistory
New Code Q99.812 was added to the ICD-10-CM code set for FY 2026, effective October 1, 2025.
Replacement Q99.812 replaces the following previously assigned code(s):
- Q99.8 - Other specified chromosome abnormalities
Questions About Q99.812Overview
Is Q99.812 (Usher syndrome) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report usher syndrome, type 2 on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does Q99.812 group to?
When usher syndrome, type 2 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 Q99.812 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 usher syndrome, type 2 on inpatient claims.
