Is Q87 a billable ICD-10-CM code?

No. Q87 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Q87 sit in the tabular list?

Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Other congenital malformations (Q80-Q89).

Q87

Q87 — Other specified congenital malformation syndromes affecting multiple systems

Non-billable headerICD-10-CM

Q87 is a non-billable header ICD-10-CM code for other specified congenital malformation syndromes affecting multiple systems. It cannot be billed on its own: choose one of the more specific child codes below.

Use additional code

Add a secondary code to capture the detail described below.

code(s) to identify all associated manifestations

Other codes that can never be billed with Q87

These codes carry an Excludes1 note pointing at Q87. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q87 alone.

M26.0Major anomalies of jaw size
Q04Other congenital malformations of brain
Q10Congenital malformations of eyelid, lacrimal apparatus and orbit
Q11.2Microphthalmos
Q18Other congenital malformations of face and neck
Q67Congenital musculoskeletal deformities of head, face, spine and chest
Q74.1Congenital malformation of knee
Q75Other congenital malformations of skull and face bones

Risk adjustment

Q87 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead Q87

7 child codes. Green means billable.

Questions about Q87

Is Q87 a billable ICD-10-CM code?: No. Q87 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Q87 sit in the tabular list?: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Other congenital malformations (Q80-Q89).