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FY2027 ICD-10-CM reference

Q99.819: Usher syndrome, unspecified

By the HCC Buddy Coding Team

The official ICD-10-CM descriptor is Usher syndrome, unspecified. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Billable code. Verified against the official FY2027 order file.

CMS-HCC V28

No V28 HCC for 2026 dates of service (CMS 2027 Initial ICD-10-CM Mappings)

CMS-HCC V24

Not used for payment year 2027 Medicare Advantage payment

ESRD

Source verification pending

PACE

Source verification pending

RxHCC

Source verification pending

HHS-HCC

Source verification pending

FY2027 Tabular instructions

Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.

Instructional note

Codes from this chapter are not for use on maternal records

Source: Q00-QA1 (chapter, inherited).

Excludes2

inborn errors of metabolism (E70-E88)

Source: Q00-QA1 (chapter, inherited).

Excludes2

mitochondrial metabolic disorders (E88.4-)

Source: Q90-Q99 (section, inherited).

Instructional note

code to identify any auditory and visual manifestations

Source: Q99.81 (self, inherited).

Source: CMS FY2027 Tabular List and Alphabetic Index.

Open Tabular instructions and code details

Compare the FY2027 additions, removals and billable-status changes

What does Q99.819 mean in FY2027?

The official ICD-10-CM descriptor is Usher syndrome, unspecified. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Is Q99.819 billable in FY2027?

The FY2027 order file marks Q99.819 as billable. Check the complete Tabular instructions and documentation before assigning it.

Does Q99.819 map to an HCC?

Q99.819 has no CMS-HCC V28 category in the CMS 2027 Initial ICD-10-CM Mappings (payment year 2027, 2026 dates of service). ESRD, RxHCC, PACE and HHS-HCC mappings are still pending verification for FY2027.

Source: CMS FY2027 ICD-10-CM order file. Read the FY2027 Official Guidelines.

Review the FY2026 April edition