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Q87 ICD-10-CM Code: Other specified congenital malformation syndromes affecting multiple systems

Q87 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software

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FY 2026 Apr update / Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0) / Other congenital malformations (Q80-Q89)

Q87

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Other specified congenital malformation syndromes affecting multiple systems

Other specified congenital malformation syndromes affecting multiple systems

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
Q8Other congenital malformations (Q80-Q89)
Q87Other specified congenital malformation syndromes affecting multiple systems

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for Q87 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for Q87 in this effective period.

Related Child Codes

Official
Q87.0Congenital malformation syndromes predominantly affecting facial appearance
Q87.1Congenital malformation syndromes predominantly associated with short stature
Q87.2Congenital malformation syndromes predominantly involving limbs
Q87.3Congenital malformation syndromes involving early overgrowth
Q87.4Marfan syndrome

Includes

Official

ICD-10-CM does not list Includes notes for Q87 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for Q87 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Q87 in this effective period.

Use Additional

Official
  • code(s) to identify all associated manifestations

Code Also

Official

ICD-10-CM does not list Code Also instructions for Q87 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
Q87
Description
Other specified congenital malformation syndromes affecting multiple systems
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

Q87 is the ICD-10-CM diagnosis code for other specified congenital malformation syndromes affecting multiple systems. Q87 sits in the ICD-10-CM chapter for congenital malformations, deformations and chromosomal abnormalities (q00-qa0), within the section covering other congenital malformations (q80-q89).

Header codes like Q87 cannot be reported on claims directly; they organize child codes that share clinical context. Coders should select the billable child code that matches the documented presentation and then verify its current source-backed HCC mapping. Do not infer a child code or risk adjustment value from the header alone.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for Q87 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Use Additional Code

  • code(s) to identify all associated manifestations

Child Codes

Code Hierarchy

Q87Other specified congenital malformation syndromes affecting multiple systems
Q87Other specified congenital malformation syndromes affecting multiple systems

More on Q87

Referenced in blog posts

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