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ICD-10 Guide
ICD-10 CodesQ75.01

Q75.01

Billable

Sagittal craniosynostosis

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

Code Description

ICD-10 Q75.01 is a billable code used to indicate a diagnosis of sagittal craniosynostosis.

Key Diagnostic Point:

Sagittal craniosynostosis is a congenital malformation characterized by the premature fusion of the sagittal suture, which runs from the front to the back of the skull. This condition leads to a long, narrow head shape, often referred to as scaphocephaly. The early closure of the sagittal suture restricts the skull's growth in the transverse direction while allowing it to elongate in the anteroposterior direction. As a result, affected infants may exhibit developmental delays, increased intracranial pressure, and facial asymmetry. Diagnosis is typically made through clinical examination and confirmed via imaging studies such as CT scans. Treatment often involves surgical intervention to correct the skull shape and allow for normal brain growth. Early diagnosis and management are crucial to prevent complications associated with increased intracranial pressure and to promote optimal neurodevelopment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of craniosynostosis
  • Need for precise documentation of surgical interventions
  • Potential for associated syndromic conditions
  • Variability in presentation and severity

Audit Risk Factors

  • Inaccurate documentation of the type of craniosynostosis
  • Failure to document associated conditions or syndromes
  • Inadequate details on surgical procedures performed
  • Misclassification of craniosynostosis severity

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation must include growth parameters, developmental milestones, and any associated symptoms or comorbidities.

Common Clinical Scenarios

Common scenarios include routine well-child visits where craniosynostosis is identified, or referrals for surgical evaluation.

Billing Considerations

Considerations include the age of the child at diagnosis and the timing of surgical intervention.

Genetics

Documentation Requirements

Genetic documentation should include family history, genetic testing results, and any syndromic associations.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of craniosynostosis or related syndromes.

Billing Considerations

Considerations include the potential for genetic syndromes that may present with craniosynostosis, such as Apert or Crouzon syndromes.

Coding Guidelines

Inclusion Criteria

Use Q75.01 When
  • 10 guidelines for congenital conditions emphasize the need for accurate documentation of the condition's nature, associated anomalies, and any surgical interventions performed
  • Coders should ensure that all relevant details are captured to support the diagnosis and treatment provided

Exclusion Criteria

Do NOT use Q75.01 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

61595CPT Code

Cranial vault remodeling

Clinical Scenario

Used in surgical correction of sagittal craniosynostosis.

Documentation Requirements

Detailed operative report and pre-operative assessments.

Specialty Considerations

Pediatric surgical documentation must include indications for surgery and post-operative care plans.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of craniosynostosis types, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of craniosynostosis types, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Craniosynostosis

Coding & Billing References

  • •
    American Academy of Pediatrics - Craniosynostosis

Frequently Asked Questions

What is the primary treatment for sagittal craniosynostosis?

The primary treatment for sagittal craniosynostosis is surgical intervention to correct the skull shape and allow for normal brain growth. This is typically performed in infancy to prevent complications associated with increased intracranial pressure.