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QA0.8 ICD-10-CM Code: Other neurodevelopmental disorders related to pathogenic variants in other specific genes

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

FY 2026 Apr update / Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0) / Genetic disorders, not elsewhere classified (QA0)

QA0.8

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

Other neurodevelopmental disorders related to pathogenic variants in other specific genes

A developmental disorder affecting brain and nervous system function caused by genetic changes in genes not covered by other specific neurodevelopmental disorder categories.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

HCC 97

Varies by metal level

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
QA0Neurodevelopmental disorders related to specific genetic pathogenic variants
QA0.8Other neurodevelopmental disorders related to pathogenic variants in other specific genes

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for QA0.8 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for QA0.8 in this effective period.

Related Child Codes

Official
QA0.0Neurodevelopmental disorders related to pathogenic variants in specific genes

Includes

Official

ICD-10-CM does not list Includes notes for QA0.8 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for QA0.8 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for QA0.8 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for QA0.8 in this effective period.

Code Also

Official
  • , if applicable, any associated conditions, such as:
  • attention-deficit hyperactivity disorders (F90.-)
  • autism spectrum disorder (F84.0)
  • developmental and epileptic encephalopathy (G93.45)
  • epilepsy, by specific type (G40.-)

Buddy Documentation Tip

HCC Buddy guidance
This is a catch-all code for rare genetic neurodevelopmental disorders; document the specific gene when possible
Ensure more specific codes are not applicable before using this code

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is QA0.8 an HCC code?

No. QA0.8 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Coder workflow notes

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

What This Code Means

QA0.8 is the ICD-10-CM diagnosis code for other neurodevelopmental disorders related to pathogenic variants in other specific genes. A developmental disorder affecting brain and nervous system function caused by genetic changes in genes not covered by other specific neurodevelopmental disorder categories. QA0.8 sits in the ICD-10-CM chapter for congenital malformations, deformations and chromosomal abnormalities (q00-qa0), within the section covering genetic disorders, not elsewhere classified (qa0).

QA0.8 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 catch-all code for rare genetic neurodevelopmental disorders; document the specific gene when possible.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for QA0.8 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This is a catch-all code for rare genetic neurodevelopmental disorders; document the specific gene when possible
  • Ensure more specific codes are not applicable before using this code

Child Codes

Code Hierarchy

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