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ICD-10 Guide
ICD-10 CodesQ75.009

Q75.009

Billable

Craniosynostosis unspecified

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q75.009 is a billable code used to indicate a diagnosis of craniosynostosis unspecified.

Key Diagnostic Point:

Craniosynostosis is a congenital condition characterized by the premature fusion of one or more cranial sutures, leading to abnormal head shape and potential intracranial pressure. This condition can result in developmental delays, cognitive impairment, and other neurological issues if not diagnosed and treated early. The severity and specific manifestations of craniosynostosis can vary widely, depending on which sutures are involved. Common types include sagittal synostosis, coronal synostosis, and metopic synostosis. Diagnosis typically involves physical examination and imaging studies such as CT scans to assess suture fusion and cranial shape. Treatment often requires surgical intervention to correct the skull shape and allow for normal brain growth. Early intervention is crucial for optimal outcomes, making accurate coding essential for appropriate management and follow-up care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of craniosynostosis.
  • Need for precise documentation of the specific sutures involved.
  • Differentiation from other cranial deformities.
  • Potential for associated syndromic conditions.

Audit Risk Factors

  • Inadequate documentation of the specific type of craniosynostosis.
  • Failure to note associated syndromic features.
  • Misclassification of cranial deformities.
  • Inconsistent use of imaging studies in documentation.

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and developmental assessments, including head circumference measurements and neurological evaluations.

Common Clinical Scenarios

Infants presenting with abnormal head shape, developmental delays, or increased intracranial pressure.

Billing Considerations

Consideration of family history and potential genetic syndromes associated with craniosynostosis.

Genetics

Documentation Requirements

Genetic testing results, family pedigree, and assessment of syndromic associations.

Common Clinical Scenarios

Cases where craniosynostosis is part of a genetic syndrome, such as Apert or Crouzon syndrome.

Billing Considerations

Documentation of genetic counseling sessions and recommendations for further genetic evaluation.

Coding Guidelines

Inclusion Criteria

Use Q75.009 When
  • 10 guidelines emphasize the importance of specificity in coding congenital conditions
  • Coders should ensure that the documentation reflects the exact nature of the craniosynostosis and any associated conditions
  • Accurate coding is essential for appropriate reimbursement and care coordination

Exclusion Criteria

Do NOT use Q75.009 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

61595CPT Code

Cranial vault remodeling

Clinical Scenario

Used in surgical correction of craniosynostosis.

Documentation Requirements

Operative reports detailing the procedure and indications.

Specialty Considerations

Pediatric surgical documentation must include preoperative assessments and postoperative follow-up.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of craniosynostosis, improving the accuracy of data collection and reimbursement processes. This specificity aids in better tracking of outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of craniosynostosis, improving the accuracy of data collection and reimbursement processes. This specificity aids in better tracking of outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better tracking of outcomes and resource allocation.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Craniosynostosis

Coding & Billing References

  • •
    American Academy of Pediatrics - Craniosynostosis

Frequently Asked Questions

What is the importance of specifying the type of craniosynostosis?

Specifying the type of craniosynostosis is crucial for accurate treatment planning, prognosis, and coding. Different types may have varying implications for surgical intervention and associated risks.