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Q87.19 ICD-10-CM Code: Other congenital malformation syndromes predominantly associated with short stature

Q87.19 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools

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Code lookupQ87.19

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

Q87.19

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Other congenital malformation syndromes predominantly associated with short stature

This code represents other congenital syndromes where short stature is a predominant feature, including various genetic and developmental disorders affecting growth.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

HCC 097

Code-level coefficient reference

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Inclusion Terms

Official
  • Aarskog syndrome
  • Cockayne syndrome
  • De Lange syndrome
  • Dubowitz syndrome
  • Noonan syndrome
  • Robinow-Silverman-Smith syndrome
  • Russell-Silver syndrome
  • Seckel syndrome

Excludes 2

Official
  • inborn errors of metabolism (E70-E88)Inherited from Q00-QA0

Related Codes

Official

Includes

Official

No Includes notes are included in this display for Q87.19. Check the code and parent instructions in the Code Book.

Excludes 1

Official
  • Ellis-van Creveld syndrome (Q77.6)Inherited from Q87.1
  • Smith-Lemli-Opitz syndrome (E78.72)Inherited from Q87.1

Code First

Official

No Code First sequencing instructions are included in this display for Q87.19. Check the code and parent instructions in the Code Book.

Use Additional

Official
  • code(s) to identify all associated manifestationsInherited from Q87

Code Also

Official

No Code Also instructions are included in this display for Q87.19. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Document the specific syndrome name when possible rather than using this catch-all code
Include measurements and growth parameters in the clinical record to support the short stature diagnosis

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 →

Is Q87.19 an HCC code?

Q87.19 has no mapping under the current CMS-HCC V28 community payment model. Q87.19 also appears in the HHS-HCC commercial risk model (HCC 097 (HHS-HCC 097 adult, RAF varies by metal level)), which is a commercial market model rather than a Medicare Advantage payment mapping.

Code
Q87.19
Description
Other congenital malformation syndromes predominantly associated with short stature
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
Yes
Payment year
2026

Coder workflow notes

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What This Code Means

Q87.19 is the ICD-10-CM diagnosis code for other congenital malformation syndromes predominantly associated with short stature. This code represents other congenital syndromes where short stature is a predominant feature, including various genetic and developmental disorders affecting growth. Q87.19 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).

Q87.19 has no mapping under the current CMS-HCC V28 community payment model. Q87.19 also appears in the HHS-HCC commercial risk model (HCC 097 (HHS-HCC 097 adult, RAF varies by metal level)), which is a commercial market model rather than a Medicare Advantage payment mapping. Do not assign V28 risk adjustment value from this page; verify the applicable model and payment year before using this code for risk adjustment.

Document the specific syndrome name when possible rather than using this catch-all code.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for Q87.19 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Document the specific syndrome name when possible rather than using this catch-all code
  • Include measurements and growth parameters in the clinical record to support the short stature diagnosis

Child Codes

Code Hierarchy

Q87.19 code history

Code setChange
FY2020 (effective Oct 1, 2019)Added to the code set

Source: official CMS ICD-10-CM order and addenda files, FY2016 through FY2027.

Also searched as

  • Q87 19
  • Q8719

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