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ICD-10 Guide
ICD-10 CodesQ75.022

Q75.022

Billable

Coronal craniosynostosis bilateral

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

Code Description

ICD-10 Q75.022 is a billable code used to indicate a diagnosis of coronal craniosynostosis bilateral.

Key Diagnostic Point:

Coronal craniosynostosis bilateral is a congenital condition characterized by the premature fusion of the coronal sutures on both sides of the skull. This fusion restricts the growth of the skull in the affected areas, leading to an abnormal head shape, often described as a 'tower skull' or 'frontal bossing.' The condition can result in increased intracranial pressure, developmental delays, and facial asymmetry. Diagnosis typically involves physical examination and imaging studies such as CT scans to assess the skull shape and rule out associated anomalies. Treatment usually requires surgical intervention to correct the skull shape and allow for normal brain growth. Early diagnosis and management are crucial to prevent complications and support optimal neurodevelopment. The condition may be isolated or associated with syndromic presentations, necessitating a comprehensive evaluation for other congenital malformations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of the condition
  • Need for multidisciplinary evaluation and management
  • Potential for associated congenital anomalies
  • Documentation of surgical interventions and follow-up care

Audit Risk Factors

  • Inadequate documentation of the diagnosis and treatment plan
  • Failure to capture associated congenital anomalies
  • Incorrect coding of surgical procedures related to craniosynostosis
  • Misinterpretation of imaging studies

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

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

Common Clinical Scenarios

Common scenarios include referrals for abnormal head shape, developmental delays, and preoperative assessments for surgical correction.

Billing Considerations

Considerations include the age of the child, potential for neurodevelopmental impact, and the need for ongoing monitoring.

Genetics

Documentation Requirements

Genetic documentation should include family history, potential syndromic associations, and results from genetic testing if performed.

Common Clinical Scenarios

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

Billing Considerations

Considerations include the identification of syndromic forms of craniosynostosis and implications for family planning.

Coding Guidelines

Inclusion Criteria

Use Q75.022 When
  • Official coding guidelines for congenital conditions emphasize the importance of accurate documentation of the diagnosis, associated anomalies, and treatment plans
  • Coders should ensure that all relevant information is captured to support the medical necessity of procedures

Exclusion Criteria

Do NOT use Q75.022 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

61595CPT Code

Cranial vault remodeling

Clinical Scenario

Used in surgical correction of craniosynostosis.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Pediatric surgical documentation must include preoperative assessments and postoperative follow-up.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of craniosynostosis, 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, 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 significance of coding Q75.022 accurately?

Accurate coding of Q75.022 is crucial for ensuring appropriate treatment, reimbursement, and tracking of congenital conditions. It helps in identifying the prevalence of craniosynostosis and associated anomalies, guiding clinical management and research.