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ICD-10 Guide
ICD-10 CodesQ75.05

Q75.05

Billable

Multi-suture craniosynostosis

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

Code Description

ICD-10 Q75.05 is a billable code used to indicate a diagnosis of multi-suture craniosynostosis.

Key Diagnostic Point:

Multi-suture craniosynostosis is a congenital condition characterized by the premature fusion of multiple cranial sutures, which can lead to abnormal head shape and potential intracranial pressure. This condition can affect the growth and development of the skull and brain, resulting in neurological complications if not addressed. The most common types of multi-suture craniosynostosis include scaphocephaly, brachycephaly, and trigonocephaly, each presenting with distinct head shapes. Diagnosis typically involves physical examination and imaging studies such as CT scans to assess the extent of suture fusion. Treatment often requires surgical intervention to correct the skull shape and allow for normal brain growth. Early diagnosis and management are crucial for optimal outcomes, as untreated craniosynostosis can lead to cognitive impairment and other developmental delays.

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 clinical presentation and severity

Audit Risk Factors

  • Inadequate documentation of the type of craniosynostosis
  • Failure to document associated syndromic features
  • Incorrect coding of surgical procedures
  • Lack of follow-up documentation post-surgery

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 conditions.

Billing Considerations

Consideration of family history and genetic counseling for syndromic cases.

Genetics

Documentation Requirements

Genetic testing results, family history of congenital conditions, and syndromic evaluations.

Common Clinical Scenarios

Assessment for syndromic craniosynostosis, genetic counseling for families, and management of associated genetic disorders.

Billing Considerations

Understanding the implications of genetic syndromes associated with craniosynostosis for accurate coding.

Coding Guidelines

Inclusion Criteria

Use Q75.05 When
  • Follow official ICD
  • 10 guidelines for congenital malformations, ensuring accurate documentation of the condition, associated features, and any surgical interventions performed

Exclusion Criteria

Do NOT use Q75.05 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 reports detailing the procedure and indications.

Specialty Considerations

Pediatric surgical documentation must include pre-operative assessments and post-operative 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 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 importance of documenting associated syndromic features in craniosynostosis?

Documenting associated syndromic features is crucial as it impacts the management plan, potential genetic counseling needs, and accurate coding for reimbursement. It also helps in understanding the overall health implications for the patient.