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 2027, 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.
Neurocutaneous Syndromes
A group of disorders characterized by ectodermal-based malformations and neoplastic growths in the skin, nervous system, and other organs.
Neurofibromatoses
A group of disorders characterized by an autosomal dominant pattern of inheritance with high rates of spontaneous mutation and multiple neurofibromas or neurilemmomas. NEUROFIBROMATOSIS 1 (generalized neurofibromatosis) accounts for approximately 95% of cases, although multiple additional subtypes (e.g., NEUROFIBROMATOSIS 2, neurofibromatosis 3, etc.) have been described. (From Neurochirurgie 1998 Nov;44(4):267-72)
Neurofibromatosis 1
An autosomal dominant inherited disorder (with a high frequency of spontaneous mutations) that features developmental changes in the nervous system, muscles, bones, and skin, most notably in tissue derived from the embryonic NEURAL CREST. Multiple hyperpigmented skin lesions and subcutaneous tumors are the hallmark of this disease. Peripheral and central nervous system neoplasms occur frequently, especially OPTIC NERVE GLIOMA and NEUROFIBROSARCOMA. NF1 is caused by mutations which inactivate the NF1 gene (GENES, NEUROFIBROMATOSIS 1) on chromosome 17q. The incidence of learning disabilities is also elevated in this condition. (From Adams et al., Principles of Neurology, 6th ed, pp1014-18) There is overlap of clinical features with NOONAN SYNDROME in a syndrome called neurofibromatosis-Noonan syndrome. Both the PTPN11 and NF1 gene products are involved in the SIGNAL TRANSDUCTION pathway of Ras (RAS PROTEINS).
Neurofibromatosis 2
An autosomal dominant disorder characterized by a high incidence of bilateral acoustic neuromas as well as schwannomas (NEURILEMMOMA) of other cranial and peripheral nerves, and other benign intracranial tumors including meningiomas, ependymomas, spinal neurofibromas, and gliomas. The disease has been linked to mutations of the NF2 gene (GENES, NEUROFIBROMATOSIS 2) on chromosome 22 (22q12) and usually presents clinically in the first or second decade of life.
PTEN Hamartoma Tumor Syndrome
A rare, autosomal dominant hereditary syndrome caused by germline mutation in the PTEN gene. It manifests with macrocephaly, neurocognitive deficits, hamartomas in multiple locations, polyposis, vascular abnormalities, and an increased risk of developing malignant tumors, particularly breast, thyroid, and endometrial carcinoma.
Schwannomatosis
Rare genetic disorder caused by mutations in the SMARCB1 and LZTR1 genes. It is characterized by the presence of multiple Schwannomas.
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.
von Hippel-Lindau Disease
An autosomal dominant disorder caused by mutations in a tumor suppressor gene. This syndrome is characterized by abnormal growth of small blood vessels leading to a host of neoplasms. They include HEMANGIOBLASTOMA in the RETINA; CEREBELLUM; and SPINAL CORD; PHEOCHROMOCYTOMA; pancreatic tumors; and renal cell carcinoma (see CARCINOMA, RENAL CELL). Common clinical signs include HYPERTENSION and neurological dysfunctions.
About the Q85 Code Range
Neurocutaneous syndromes involve malformations and growths in the skin, nervous system, and other organs. Phakomatoses appear here within the congenital malformations group.
Q85.0 separates nonmalignant neurofibromatosis into unspecified, type 1, type 2, schwannomatosis, and other neurofibromatosis. Q85.1 identifies tuberous sclerosis. Q85.8 groups other phakomatoses, with subdivisions for PTEN hamartoma tumor syndrome, other Cowden syndrome, Von Hippel-Lindau syndrome, and other phakomatoses. Q85.9 identifies unspecified phakomatosis.
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, 2026 through September 30, 2027. 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 2027 ICD-10-CM Tabular List and order file, effective October 1, 2026 through September 30, 2027.