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Q87.87

Billable

Hao-Fountain Syndrome

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

Is Q87.87 an HCC code?

No. Q87.87 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Q87.87 is the ICD-10-CM diagnosis code for hao-fountain syndrome. Hao-Fountain syndrome is a rare genetic disorder affecting development, causing intellectual disability and distinctive physical features. Q87.87 sits in the ICD-10-CM chapter for congenital malformations, deformations, chromosomal abnormalities, and genetic disorders (q00-qa0), within the section covering other congenital malformations (q80-q89).

Q87.87 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

This is a very rare syndrome; ensure documentation clearly supports this diagnosis.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Q87.87 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This is a very rare syndrome; ensure documentation clearly supports this diagnosis
  • Code associated developmental and intellectual manifestations separately

Use Additional Code

  • code, if applicable, for associated conditions such as:
  • autism spectrum disorder (F84.0)
  • developmental speech disorder (F80.-)
  • epilepsy, by specific type (G40.-)
  • intellectual disabilities (F70-F79)
  • pervasive developmental disorders (F84.-)

Code Hierarchy

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