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v1.0.0
ICD-10 Guide
ICD-10 CodesQ75.2

Q75.2

Billable

Hypertelorism

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

Code Description

ICD-10 Q75.2 is a billable code used to indicate a diagnosis of hypertelorism.

Key Diagnostic Point:

Hypertelorism is a congenital condition characterized by an increased distance between the orbits (eye sockets), which can be a feature of various syndromes and genetic disorders. This condition can lead to aesthetic concerns and may be associated with other congenital malformations, particularly those affecting the musculoskeletal system. Hypertelorism can occur as an isolated finding or as part of a syndrome, such as Crouzon syndrome or Apert syndrome, where it may be accompanied by craniosynostosis, limb deformities, or other anomalies. The condition is typically diagnosed through clinical examination and imaging studies, such as CT scans, which can help assess the degree of orbital separation and any associated craniofacial abnormalities. Management may involve multidisciplinary care, including surgical intervention for cosmetic and functional improvement, particularly if associated with other structural anomalies. Early diagnosis and intervention are crucial for optimizing outcomes in affected children.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in associated syndromes and conditions
  • Need for precise documentation of associated anomalies
  • Potential for misclassification with similar conditions
  • Requirement for multidisciplinary team involvement

Audit Risk Factors

  • Inadequate documentation of associated conditions
  • Failure to specify the type of hypertelorism
  • Misuse of codes for syndromic versus non-syndromic cases
  • Lack of clarity on the clinical significance of the condition

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed clinical notes describing the extent of hypertelorism and any associated musculoskeletal anomalies.

Common Clinical Scenarios

Pediatric patients presenting with hypertelorism alongside clubfoot or limb reduction defects.

Billing Considerations

Ensure accurate coding of any associated congenital malformations to reflect the full clinical picture.

Genetics

Documentation Requirements

Genetic testing results and family history that may indicate syndromic associations.

Common Clinical Scenarios

Genetic counseling sessions for families with a history of congenital anomalies, including hypertelorism.

Billing Considerations

Consider the implications of genetic syndromes that may include hypertelorism and their associated coding.

Coding Guidelines

Inclusion Criteria

Use Q75.2 When
  • Follow ICD
  • CM guidelines for coding congenital malformations, ensuring specificity in documentation and coding for associated conditions
  • Use additional codes to capture related anomalies

Exclusion Criteria

Do NOT use Q75.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

67904CPT Code

Repair of hypertelorism

Clinical Scenario

Surgical intervention for cosmetic correction of hypertelorism.

Documentation Requirements

Pre-operative assessment and surgical notes detailing the procedure.

Specialty Considerations

Ophthalmology and plastic surgery may be involved in the management.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hypertelorism and its associated conditions, 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 hypertelorism and its associated conditions, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    Congenital Anomalies: A Guide for Coders

Coding & Billing References

  • •
    Congenital Anomalies: A Guide for Coders

Frequently Asked Questions

What is the significance of coding hypertelorism accurately?

Accurate coding of hypertelorism is crucial for proper reimbursement, tracking of congenital anomalies, and ensuring that patients receive appropriate multidisciplinary care. It also aids in research and understanding of associated syndromes.