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ICD-10 Guide
ICD-10 CodesQ75.03

Q75.03

Billable

Metopic craniosynostosis

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

Code Description

ICD-10 Q75.03 is a billable code used to indicate a diagnosis of metopic craniosynostosis.

Key Diagnostic Point:

Metopic craniosynostosis is a congenital condition characterized by the premature fusion of the metopic suture, which runs from the top of the head down the forehead. This early closure can lead to a triangular-shaped forehead and a narrow skull, affecting the overall head shape and potentially leading to increased intracranial pressure and developmental delays. The condition is often associated with other craniofacial anomalies and may require surgical intervention to correct the skull shape and allow for normal brain growth. Diagnosis is typically made through physical examination and imaging studies, such as CT scans, which can confirm the suture fusion. Treatment options include surgery to correct the skull shape and alleviate any associated complications. Early diagnosis and intervention are crucial for optimal outcomes in affected infants.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of craniosynostosis
  • Potential for associated syndromic conditions
  • Variability in presentation and severity
  • Need for multidisciplinary care and documentation

Audit Risk Factors

  • Inadequate documentation of associated conditions
  • Failure to specify the type of craniosynostosis
  • Incorrect coding of surgical procedures
  • Lack of follow-up documentation post-surgery

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and development assessments, imaging results, and surgical notes.

Common Clinical Scenarios

Infants presenting with abnormal head shape, referrals for craniofacial evaluation, and pre- and post-operative assessments.

Billing Considerations

Ensure comprehensive documentation of developmental milestones and any associated syndromic features.

Genetics

Documentation Requirements

Family history, genetic testing results, and syndromic evaluations.

Common Clinical Scenarios

Genetic counseling for families with a history of craniosynostosis or related syndromes.

Billing Considerations

Consideration of genetic syndromes that may present with craniosynostosis, requiring thorough documentation of genetic evaluations.

Coding Guidelines

Inclusion Criteria

Use Q75.03 When
  • Follow official ICD
  • 10 guidelines for congenital malformations, ensuring accurate documentation of the condition's nature, associated anomalies, and any surgical interventions
  • Use additional codes for related conditions as necessary

Exclusion Criteria

Do NOT use Q75.03 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

61595CPT Code

Cranial vault remodeling

Clinical Scenario

Used for surgical correction of metopic craniosynostosis.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Pediatric surgical documentation must include pre-operative assessments and post-operative 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 congenital conditions like metopic craniosynostosis, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions like metopic craniosynostosis, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Craniosynostosis

Coding & Billing References

  • •
    American Academy of Pediatrics - Craniosynostosis

Frequently Asked Questions

What is the primary treatment for metopic craniosynostosis?

The primary treatment for metopic craniosynostosis is surgical intervention, typically performed in the first year of life to correct the skull shape and prevent complications associated with increased intracranial pressure.