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v1.0.0
ICD-10 Guide
ICD-10 CodesQ84.1

Q84.1

Billable

Congenital morphological disturbances of hair, not elsewhere classified

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

Code Description

ICD-10 Q84.1 is a billable code used to indicate a diagnosis of congenital morphological disturbances of hair, not elsewhere classified.

Key Diagnostic Point:

Congenital morphological disturbances of hair encompass a range of conditions characterized by abnormal hair growth patterns, texture, or distribution that are present at birth. These disturbances can manifest as hair loss, abnormal hair density, or unusual hair types, such as woolly hair or hair that is absent in certain areas. While some conditions may be isolated, others can be associated with broader syndromic presentations, including genetic syndromes that affect multiple systems. The etiology of these disturbances can be genetic, environmental, or a combination of both, and they may be linked to chromosomal abnormalities or other congenital malformations. Accurate diagnosis often requires a multidisciplinary approach, including dermatological evaluation and genetic testing, to determine the underlying cause and to guide management. Treatment options may vary based on the specific condition and its associated symptoms, ranging from cosmetic interventions to more complex medical management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and associated syndromes
  • Need for genetic testing and interpretation
  • Potential overlap with other congenital conditions
  • Documentation of family history and genetic background

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to include genetic testing results
  • Misclassification with other hair disorders
  • Lack of clear linkage between diagnosis and treatment

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include detailed growth and development assessments, family history, and any associated congenital anomalies.

Common Clinical Scenarios

Common scenarios include evaluation of infants with abnormal hair patterns, assessment of hair loss in children, and management of syndromic presentations.

Billing Considerations

Considerations include the age of onset, associated symptoms, and the potential impact on psychosocial development.

Genetics

Documentation Requirements

Genetic documentation needs to include results from chromosomal analysis, family pedigree, and any relevant genetic counseling notes.

Common Clinical Scenarios

Scenarios include genetic counseling for families with a history of congenital hair disorders and interpretation of genetic test results.

Billing Considerations

Considerations include understanding the inheritance patterns and implications for family members.

Coding Guidelines

Inclusion Criteria

Use Q84.1 When
  • Official coding guidelines for congenital and chromosomal conditions emphasize the importance of accurate documentation, including the need for specificity in diagnosis and the inclusion of any associated conditions

Exclusion Criteria

Do NOT use Q84.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit

Clinical Scenario

Used for follow-up visits in patients with congenital hair disorders.

Documentation Requirements

Document the patient's history, examination findings, and any treatment plans.

Specialty Considerations

Pediatricians should focus on growth and development assessments.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the ability to capture the nuances of congenital hair disorders and their associations.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the ability to capture the nuances of congenital hair disorders and their associations.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Academy of Pediatrics

Coding & Billing References

  • •
    American Academy of Pediatrics

Frequently Asked Questions

What are the common congenital hair disorders associated with Q84.1?

Common congenital hair disorders include conditions like woolly hair syndrome, hypotrichosis, and other syndromic presentations that may involve hair morphology. Accurate coding requires understanding the specific condition and its implications.