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v1.0.0
ICD-10 Guide
ICD-10 CodesQ87.83

Q87.83

Billable

Bardet-Biedl syndrome

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

Code Description

ICD-10 Q87.83 is a billable code used to indicate a diagnosis of bardet-biedl syndrome.

Key Diagnostic Point:

Bardet-Biedl syndrome (BBS) is a rare genetic disorder characterized by a combination of symptoms including obesity, retinal dystrophy, polydactyly, renal abnormalities, and learning difficulties. It is classified as a ciliopathy, which means it arises from defects in the cilia, the tiny hair-like structures on the surface of cells that play a crucial role in cellular signaling and function. Patients with BBS often present with a range of congenital malformations, including skin abnormalities such as hypopigmented patches or nevi, breast hypoplasia, and splenic anomalies. The syndrome is inherited in an autosomal recessive manner, and genetic testing can identify mutations in several genes associated with the condition, including BBS1, BBS10, and others. Early diagnosis and management are essential to address the various health issues associated with BBS, including obesity management, vision care, and renal monitoring. The complexity of BBS lies in its multi-system involvement, requiring a multidisciplinary approach for effective management.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Multiple organ systems affected
  • Variability in clinical presentation
  • Need for genetic testing documentation
  • Potential for co-occurring congenital conditions

Audit Risk Factors

  • Inadequate documentation of genetic testing results
  • Failure to capture all associated congenital anomalies
  • Misclassification of symptoms as unrelated conditions
  • Lack of interdisciplinary notes in patient records

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and developmental assessments, including obesity management and vision evaluations.

Common Clinical Scenarios

Pediatric patients presenting with obesity, polydactyly, and learning difficulties requiring multidisciplinary care.

Billing Considerations

Ensure all congenital anomalies are documented, including skin and renal issues, to support comprehensive coding.

Genetics

Documentation Requirements

Genetic testing results, family history of congenital conditions, and detailed phenotypic descriptions.

Common Clinical Scenarios

Genetic counseling sessions for families with a history of BBS or related ciliopathies.

Billing Considerations

Accurate coding of genetic tests and their results is crucial for proper reimbursement and patient care.

Coding Guidelines

Inclusion Criteria

Use Q87.83 When
  • Follow ICD
  • CM guidelines for coding congenital conditions, ensuring that all manifestations are captured
  • Use additional codes for associated conditions like obesity or renal anomalies as necessary

Exclusion Criteria

Do NOT use Q87.83 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

81220CPT Code

Genetic testing for Bardet-Biedl syndrome

Clinical Scenario

Used when genetic confirmation of BBS is required.

Documentation Requirements

Document the reason for testing and the specific genes tested.

Specialty Considerations

Genetic specialists should ensure accurate coding for reimbursement.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

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

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    Bardet-Biedl Syndrome Foundation

Coding & Billing References

  • •
    Bardet-Biedl Syndrome Foundation

Frequently Asked Questions

What are the key features of Bardet-Biedl syndrome?

Bardet-Biedl syndrome is characterized by obesity, retinal dystrophy, polydactyly, renal anomalies, and learning difficulties. It is important to document all manifestations for accurate coding.