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v1.0.0
ICD-10 Guide
ICD-10 CodesQ75.1

Q75.1

Billable

Craniofacial dysostosis

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

Code Description

ICD-10 Q75.1 is a billable code used to indicate a diagnosis of craniofacial dysostosis.

Key Diagnostic Point:

Craniofacial dysostosis, also known as craniosynostosis, is a congenital condition characterized by the premature fusion of one or more cranial sutures, leading to abnormal head shape and facial features. This condition can result in increased intracranial pressure, developmental delays, and various associated anomalies. The severity and specific manifestations depend on which sutures are involved and the timing of the fusion. Commonly associated features include ocular abnormalities, hearing loss, and dental issues. Treatment often involves surgical intervention to correct the skull shape and alleviate pressure on the brain. Early diagnosis and management are crucial for optimal outcomes, particularly in pediatric patients, as they are still undergoing significant growth and development.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and associated anomalies
  • Need for precise documentation of cranial suture involvement
  • Differentiation from other craniofacial syndromes
  • Potential for multiple surgical interventions

Audit Risk Factors

  • Inadequate documentation of cranial suture involvement
  • Failure to document associated anomalies
  • Misclassification with other craniofacial syndromes
  • Inconsistent coding of surgical interventions

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and developmental assessments, imaging studies, and surgical reports.

Common Clinical Scenarios

Diagnosis of craniosynostosis in infants presenting with abnormal head shape, referral for surgical evaluation.

Billing Considerations

Consideration of developmental milestones and potential neurodevelopmental assessments.

Genetics

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Understanding the genetic basis of syndromic forms of craniosynostosis and implications for family planning.

Coding Guidelines

Inclusion Criteria

Use Q75.1 When
  • Follow the official ICD
  • CM guidelines for coding congenital malformations, ensuring accurate documentation of the condition's specifics and any associated anomalies

Exclusion Criteria

Do NOT use Q75.1 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

Surgical reports detailing the procedure and indications.

Specialty Considerations

Neurosurgery and pediatric surgery documentation standards.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of craniofacial dysostosis, 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 craniofacial dysostosis, 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 craniofacial dysostosis?

Craniofacial dysostosis refers to a group of congenital conditions characterized by the abnormal fusion of cranial sutures, leading to altered skull shape and potential neurological complications.