ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesQ01.0

Q01.0

Billable

Frontal encephalocele

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

Code Description

ICD-10 Q01.0 is a billable code used to indicate a diagnosis of frontal encephalocele.

Key Diagnostic Point:

Frontal encephalocele is a type of neural tube defect characterized by a sac-like protrusion of brain tissue and membranes through a defect in the frontal bone of the skull. This congenital malformation occurs due to the failure of the neural tube to close properly during early embryonic development, typically between the third and fourth week of gestation. The condition can vary in severity, with some cases presenting with only a small defect and minimal neurological impairment, while others may involve significant brain tissue and associated cognitive and physical disabilities. Patients may exhibit symptoms such as developmental delays, seizures, and hydrocephalus. Diagnosis is often made via prenatal imaging techniques such as ultrasound or MRI, and postnatally through physical examination and imaging studies. Management may involve surgical intervention to repair the defect and address any associated complications. Early intervention and multidisciplinary care are crucial for optimizing outcomes in affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of the condition
  • Need for detailed documentation of associated neurological deficits
  • Potential for co-occurring congenital anomalies
  • Complexity of surgical interventions and follow-up care

Audit Risk Factors

  • Inadequate documentation of neurological assessments
  • Failure to capture associated congenital anomalies
  • Misclassification of severity or type of encephalocele
  • Inconsistent coding practices across different providers

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include detailed developmental assessments, neurological evaluations, and any interventions performed.

Common Clinical Scenarios

Common scenarios include newborns presenting with frontal encephalocele diagnosed prenatally or at birth, requiring immediate surgical evaluation.

Billing Considerations

Considerations include the need for ongoing developmental monitoring and potential referrals to specialists for comprehensive care.

Genetics

Documentation Requirements

Genetic documentation should include family history, genetic counseling notes, and any chromosomal studies performed.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of neural tube defects or other congenital anomalies.

Billing Considerations

Considerations include the potential for syndromic associations and the need for genetic testing to identify underlying chromosomal abnormalities.

Coding Guidelines

Inclusion Criteria

Use Q01.0 When
  • Official coding guidelines for congenital conditions emphasize the importance of accurate documentation of the diagnosis, associated conditions, and any surgical interventions
  • Coders should ensure that all relevant information is captured to support the assigned codes

Exclusion Criteria

Do NOT use Q01.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

61510CPT Code

Repair of encephalocele

Clinical Scenario

Used during surgical intervention for frontal encephalocele.

Documentation Requirements

Document the surgical procedure, indications, and any complications.

Specialty Considerations

Neurosurgical documentation must detail the approach and findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital malformations, including frontal encephalocele, enhancing the ability to capture the complexity of these conditions and their management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital malformations, including frontal encephalocele, enhancing the ability to capture the complexity of these conditions and their management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of congenital malformations, including frontal encephalocele, enhancing the ability to capture the complexity of these conditions and their management.

Resources

Clinical References

  • •
    CDC - Birth Defects

Coding & Billing References

  • •
    CDC - Birth Defects

Frequently Asked Questions

What is the significance of coding frontal encephalocele accurately?

Accurate coding of frontal encephalocele is crucial for appropriate management, resource allocation, and understanding the epidemiology of congenital malformations. It also impacts reimbursement and quality of care metrics.