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v1.0.0
ICD-10 Guide
ICD-10 CodesQ84.8

Q84.8

Billable

Other specified congenital malformations of integument

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

Code Description

ICD-10 Q84.8 is a billable code used to indicate a diagnosis of other specified congenital malformations of integument.

Key Diagnostic Point:

Congenital malformations of the integument encompass a variety of skin, breast, spleen, adrenal, and other rare malformations. These conditions can manifest as structural abnormalities in the skin, such as congenital nevi, epidermal nevi, or other skin lesions that may be present at birth. Breast malformations can include conditions like Poland syndrome, where there is an absence or underdevelopment of breast tissue. Spleen and adrenal malformations may involve ectopic spleen or adrenal gland, or agenesis of these organs, which can lead to significant clinical implications. The presentation of these malformations can vary widely, from benign lesions that require minimal intervention to complex syndromes that necessitate multidisciplinary management. Accurate coding of these conditions is crucial for appropriate treatment planning and resource allocation, as well as for understanding the epidemiology of congenital malformations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions under the code leading to potential misclassification
  • Need for detailed clinical documentation to support the diagnosis
  • Overlap with other congenital codes requiring careful differentiation
  • Variability in clinical presentation and management strategies

Audit Risk Factors

  • Inadequate documentation of the specific malformation
  • Failure to link the diagnosis with appropriate clinical findings
  • Misuse of the code due to lack of understanding of associated conditions
  • Inconsistent coding practices across different healthcare providers

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed descriptions of the malformations, including size, location, and associated symptoms.

Common Clinical Scenarios

Management of congenital skin lesions, evaluation of breast tissue anomalies in newborns, and assessment of associated syndromes.

Billing Considerations

Consideration of growth and development impacts on congenital integumentary conditions.

Genetics

Documentation Requirements

Genetic testing results, family history of congenital conditions, and syndromic associations.

Common Clinical Scenarios

Genetic counseling for families with a history of congenital malformations and syndromic evaluations.

Billing Considerations

Understanding the genetic basis of congenital integumentary conditions and their inheritance patterns.

Coding Guidelines

Inclusion Criteria

Use Q84.8 When
  • Follow official ICD
  • CM guidelines for coding congenital conditions, ensuring specificity in documentation and adherence to coding conventions

Exclusion Criteria

Do NOT use Q84.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Repair of superficial wound

Clinical Scenario

Used when a congenital skin lesion requires surgical intervention.

Documentation Requirements

Document the size, location, and type of lesion being repaired.

Specialty Considerations

Pediatric surgeons may need to provide additional details on the congenital nature of the lesion.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding congenital malformations, improving data accuracy and facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding congenital malformations, improving data accuracy and facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding congenital malformations, improving data accuracy and facilitating better patient management.

Resources

Clinical References

  • •
    CDC Congenital Malformations

Coding & Billing References

  • •
    CDC Congenital Malformations

Frequently Asked Questions

What are the common congenital integumentary conditions associated with Q84.8?

Common conditions include congenital nevi, Poland syndrome, and ectopic adrenal tissue. Each condition has specific documentation and coding requirements that must be adhered to for accurate billing and treatment planning.