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v1.0.0
ICD-10 Guide
ICD-10 CodesQ87.84

Q87.84

Billable

Laurence-Moon syndrome

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

Code Description

ICD-10 Q87.84 is a billable code used to indicate a diagnosis of laurence-moon syndrome.

Key Diagnostic Point:

Laurence-Moon syndrome is a rare genetic disorder characterized by a combination of symptoms including retinitis pigmentosa, intellectual disability, obesity, hypogonadism, and polydactyly. It is classified as a syndromic form of obesity and is associated with various congenital malformations. The syndrome is caused by mutations in genes that are involved in the development and function of the central nervous system and other organ systems. Patients may present with additional congenital anomalies such as renal agenesis, skeletal deformities, and abnormalities of the skin and breast tissue. The condition is often diagnosed in childhood, and management typically involves a multidisciplinary approach to address the various health issues associated with the syndrome, including vision impairment, developmental delays, and metabolic concerns. Genetic counseling is recommended for affected families to understand the inheritance patterns and implications for future pregnancies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and associated congenital anomalies
  • Need for comprehensive documentation of multiple systems affected
  • Potential overlap with other syndromic conditions
  • Requirement for genetic testing results to confirm diagnosis

Audit Risk Factors

  • Inadequate documentation of associated congenital anomalies
  • Failure to include genetic testing results
  • Misclassification of syndromic versus non-syndromic conditions
  • Inconsistent coding of related conditions

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation must include growth parameters, developmental milestones, and specific congenital anomalies present.

Common Clinical Scenarios

Common scenarios include routine pediatric evaluations, referrals for developmental delays, and assessments for obesity-related complications.

Billing Considerations

Coders should ensure that all congenital anomalies are documented and linked to the primary diagnosis to avoid undercoding.

Genetics

Documentation Requirements

Genetic documentation should include family history, results of genetic testing, and any genetic counseling provided.

Common Clinical Scenarios

Scenarios include genetic counseling sessions, diagnostic evaluations for suspected syndromes, and follow-up assessments post-diagnosis.

Billing Considerations

Accurate coding requires understanding of genetic inheritance patterns and the implications of genetic findings on patient management.

Coding Guidelines

Inclusion Criteria

Use Q87.84 When
  • Coders should follow official ICD
  • 10 guidelines for congenital conditions, ensuring that all relevant congenital anomalies are documented and coded appropriately
  • The use of additional codes for associated conditions is encouraged to provide a comprehensive picture of the patient's health status

Exclusion Criteria

Do NOT use Q87.84 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

96110CPT Code

Developmental screening, with interpretation and report

Clinical Scenario

Used during routine evaluations for developmental delays in children with Laurence-Moon syndrome.

Documentation Requirements

Documentation must include the specific developmental concerns and results of the screening.

Specialty Considerations

Pediatric specialists should ensure that developmental assessments are comprehensive and linked to the diagnosis.

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, including Laurence-Moon syndrome, which aids in better tracking and management of these complex cases.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, including Laurence-Moon syndrome, which aids in better tracking and management of these complex cases.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of congenital conditions, including Laurence-Moon syndrome, which aids in better tracking and management of these complex cases.

Resources

Clinical References

  • •
    National Organization for Rare Disorders (NORD)

Coding & Billing References

  • •
    National Organization for Rare Disorders (NORD)

Frequently Asked Questions

What are the common congenital anomalies associated with Laurence-Moon syndrome?

Common congenital anomalies associated with Laurence-Moon syndrome include polydactyly, renal agenesis, and various skeletal deformities. Coders should ensure these are documented to provide a complete clinical picture.