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v1.0.0
ICD-10 Guide
ICD-10 CodesQ75.00

Q75.00

Billable

Craniosynostosis unspecified

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

Code Description

ICD-10 Q75.00 is a billable code used to indicate a diagnosis of craniosynostosis unspecified.

Key Diagnostic Point:

Craniosynostosis is a congenital condition characterized by the premature fusion of one or more cranial sutures, leading to abnormal head shape and potential intracranial pressure. This condition can occur in isolation or as part of syndromic presentations, such as Apert syndrome or Crouzon syndrome. The severity of craniosynostosis varies, with some cases requiring surgical intervention to correct the skull shape and alleviate pressure on the brain. Diagnosis typically involves physical examination and imaging studies, such as CT scans, to assess the extent of suture fusion. Early diagnosis and management are crucial to prevent developmental delays and associated neurological complications. The condition may also be associated with other congenital malformations, particularly those affecting the musculoskeletal system, such as clubfoot, hip dysplasia, and limb reduction defects, necessitating a comprehensive approach to care and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and associated conditions
  • Need for precise documentation of cranial suture involvement
  • Differentiation from other cranial deformities
  • Potential for syndromic associations requiring additional codes

Audit Risk Factors

  • Inadequate documentation of associated congenital conditions
  • Failure to specify the type of craniosynostosis
  • Misclassification of cranial deformities
  • Lack of supporting imaging studies in the medical record

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and developmental assessments, including head circumference measurements and neurological evaluations.

Common Clinical Scenarios

Referral for surgical intervention, monitoring for developmental milestones, and management of associated musculoskeletal conditions.

Billing Considerations

Consideration of family history and potential syndromic associations is essential for accurate coding.

Genetics

Documentation Requirements

Genetic testing results, family pedigree, and assessment for syndromic conditions.

Common Clinical Scenarios

Genetic counseling for families with a history of craniosynostosis or related syndromes.

Billing Considerations

Documentation of genetic syndromes associated with craniosynostosis is critical for accurate coding and management.

Coding Guidelines

Inclusion Criteria

Use Q75.00 When
  • Follow official ICD
  • CM guidelines for coding congenital malformations, ensuring specificity in documentation and coding for associated conditions

Exclusion Criteria

Do NOT use Q75.00 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

61595CPT Code

Cranial vault remodeling

Clinical Scenario

Used in cases of craniosynostosis requiring surgical intervention.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Neurosurgery documentation must include pre-operative assessments and post-operative follow-ups.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding craniosynostosis, enabling better tracking of outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding craniosynostosis, enabling better tracking of outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding craniosynostosis, enabling better tracking of outcomes and resource allocation.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Craniosynostosis

Coding & Billing References

  • •
    American Academy of Pediatrics - Craniosynostosis

Frequently Asked Questions

What is the importance of specifying the type of craniosynostosis?

Specifying the type of craniosynostosis is crucial for accurate coding, treatment planning, and understanding potential associated conditions. It also impacts surgical approaches and outcomes.