Phakomatoses, not elsewhere classified (Q85) ICD-10-CM
The Q85 code range covers phakomatoses, not elsewhere classified with 14 ICD-10-CM diagnosis codes. 11 of them are billable and valid for claim submission in fiscal year 2026, and the category headers group them but cannot themselves be billed.
Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Codes in the Q85 Range 14 codes · 11 billable
- Q85 Phakomatoses, not elsewhere classifiedNon-billable
- Q85.0 Neurofibromatosis (nonmalignant)Non-billable
- Q85.00 Neurofibromatosis, unspecified
- Q85.01 Neurofibromatosis, type 1
- Q85.02 Neurofibromatosis, type 2
- Q85.03 Schwannomatosis
- Q85.09 Other neurofibromatosis
- Q85.1 Tuberous sclerosis
- Q85.8 Other phakomatoses, not elsewhere classifiedNon-billable
- Q85.81 PTEN hamartoma tumor syndrome
- Q85.82 Other Cowden syndrome
- Q85.83 Von Hippel-Lindau syndrome
- Q85.89 Other phakomatoses, not elsewhere classified
- Q85.9 Phakomatosis, unspecified
Clinical Terms in This Code Range
Definitions from the National Library of Medicine for conditions coded in the Q85 range.
Angiofibroma
A benign neoplasm of fibrous tissue in which there are numerous small and large, frequently dilated, vascular channels. (Stedman, 25th ed)
Hamartoma
A focal malformation resembling a neoplasm, composed of an overgrowth of mature cells and tissues that normally occur in the affected area.
Hamartoma Syndrome, Multiple
A hereditary disease characterized by multiple ectodermal, mesodermal, and endodermal nevoid and neoplastic anomalies. Facial trichilemmomas and papillomatous papules of the oral mucosa are the most characteristic lesions. Individuals with this syndrome have a high risk of BREAST CANCER; THYROID CANCER; and ENDOMETRIAL CANCER. This syndrome is associated with mutations in the gene for PTEN PHOSPHATASE.
Peutz-Jeghers Syndrome
A hereditary disease caused by autosomal dominant mutations involving CHROMOSOME 19. It is characterized by the presence of INTESTINAL POLYPS, consistently in the JEJUNUM, and mucocutaneous pigmentation with MELANIN spots of the lips, buccal MUCOSA, and digits.
Proteus Syndrome
Hamartoneoplastic malformation syndrome of uncertain etiology characterized by partial GIGANTISM of the hands and/or feet, asymmetry of the limbs, plantar hyperplasia, hemangiomas (HEMANGIOMA), lipomas (LIPOMA), lymphangiomas (LYMPHANGIOMA), epidermal NEVI; MACROCEPHALY; cranial HYPEROSTOSIS, and long-bone overgrowth. Joseph Merrick, the so-called elephant man, apparently suffered from Proteus syndrome and not NEUROFIBROMATOSIS, a disorder with similar characteristics.
Tuberous Sclerosis
Autosomal dominant neurocutaneous syndrome classically characterized by MENTAL RETARDATION; EPILEPSY; and skin lesions (e.g., adenoma sebaceum and hypomelanotic macules). There is, however, considerable heterogeneity in the neurologic manifestations. It is also associated with cortical tuber and HAMARTOMAS formation throughout the body, especially the heart, kidneys, and eyes. Mutations in two loci TSC1 and TSC2 that encode hamartin and tuberin, respectively, are associated with the disease.
Tuberous Sclerosis Complex 1 Protein
An intracellular signaling and tumor suppressor protein that forms a complex with TUBEROUS SCLEROSIS COMPLEX 2 PROTEIN (TSC2) and other signaling factors to negatively regulate MTORC1 signaling and affect cell growth and proliferation. Structurally, it interacts with TSC2 through its N-terminal, which also contains GSK-3BETA phosphorylation sites and a RHO-KINASE activation domain. It also contains a C-terminal coiled-coil domain and ezrin-radixin-moesin (ERM) domain. Mutations in the TSC1 gene are associated with TUBEROUS SCLEROSIS.
Tuberous Sclerosis Complex 2 Protein
An intracellular signaling and tumor suppressor protein that forms a complex with TUBEROUS SCLEROSIS COMPLEX 1 PROTEIN (TSC1) and other signaling factors to negatively regulate MTORC1 and affect cell growth and proliferation. It can also function as GTPASE-ACTIVATING PROTEIN (GAP) for RHEB GTPASE to activate mTORC1 independent of its role in the complex. Structurally, it interacts with TSC1 through its N-terminus, which also contains a leucine zipper and coiled-coil region. It also has multiple phosphorylation sites for different cell signaling kinases, a central coiled-coil region, a C-terminal GAP domain and CALMODULIN binding domain. Mutations in the TSC2 gene are associated with TUBEROUS SCLEROSIS.
About the Q85 Code Range
The ICD-10 code Q85 covers a group of rare genetic disorders known as phakomatoses, which include neurofibromatosis, tuberous sclerosis, and related syndromes characterized by abnormal tissue growths affecting the nervous system and skin. These codes specifically classify different types and forms of phakomatoses that do not fall under other separate categories.
The section includes detailed codes such as Q85.00 for unspecified neurofibromatosis, and distinct codes for neurofibromatosis type 1 (Q85.01) and type 2 (Q85.02), conditions notable for symptoms like café au lait spots and schwannomas, respectively. Also included are Q85.1 for tuberous sclerosis, a disorder marked by benign tumors in multiple organs, and Q85.81 for PTEN hamartoma tumor syndrome, also known as Cowden syndrome. Other specific codes address syndromes like Von Hippel-Lindau disease (Q85.83) and various other neurocutaneous syndromes. These codes assist medical coders in accurately recording these complex, multisystem conditions, enabling precise diagnosis and management within healthcare systems.
Questions About This Page
How many billable codes are in the Q85 range?
Of the 14 codes in this range, 11 are billable and valid for claim submission from October 1, 2025 through September 30, 2026. Category header codes group them but cannot be reported on claims.
What does the Q85 range classify?
The range classifies phakomatoses, not elsewhere classified. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.
Related References
Source: CMS FY 2026 ICD-10-CM Tabular List and order file, effective October 1, 2025 through September 30, 2026.