ICD-10-CM Codes
Q00-Q99
Q80-Q89
Q85-
2023 ICD-10-CM Diagnosis Code Q85.81

2023 ICD-10-CM Diagnosis Code Q85.81

PTEN tumor syndrome

2023 - New Code

Billable/Specific Code

POA Exempt

Q85.81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
ICD-10-CM Q85.81 is a new 2023 ICD-10-CM code that became effective on October 1, 2022.
This is the American ICD-10-CM version of Q85.81 - other international versions of ICD-10 Q85.81 may differ.

Applicable To

PHTS
PTEN hamartoma tumor syndrome
PTEN related Cowden syndrome

Code Also

Code Also Help

A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter.

, if applicable, genetic susceptibility to malignant neoplasm (
ICD-10-CM Diagnosis Code Z15.0
Genetic susceptibility to malignant neoplasm
Code First
- , if applicable, any current malignant neoplasm (C00-C75, C81-C96)
Use Additional
- code, if applicable, for any personal history of malignant neoplasm (Z85.-)
Z15.0-
)

The following code(s) above Q85.81 contain annotation back-references

Annotation Back-References

In this context, annotation back-references refer to codes that contain:

Applicable To annotations, or
Code Also annotations, or
Code First annotations, or
Excludes1 annotations, or
Excludes2 annotations, or
Includes annotations, or
Note annotations, or
Use Additional annotations

that may be applicable to Q85.81:

Q00-Q99
2023 ICD-10-CM Range Q00-Q99
Congenital malformations, deformations and chromosomal abnormalities
Note
- Codes from this chapter are not for use on maternal records
Type 2 Excludes
- inborn errors of metabolism (E70-E88)
Congenital malformations, deformations and chromosomal abnormalities
Q85
ICD-10-CM Diagnosis Code Q85
Phakomatoses, not elsewhere classified
Type 1 Excludes
- ataxia telangiectasia [Louis-Bar] (G11.3)
- familial dysautonomia [Riley-Day] (G90.1)
Phakomatoses, not elsewhere classified
Q85.8
ICD-10-CM Diagnosis Code Q85.8
Other phakomatoses, not elsewhere classified
Type 1 Excludes
- Meckel-Gruber syndrome (Q61.9)
Other phakomatoses, not elsewhere classified

Present On Admission

POA Help

"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.

Q85.81 is considered exempt from POA reporting.

ICD-10-CM Q85.81 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):

826 Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. Procedures with mcc
827 Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. Procedures with cc
828 Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. Procedures without cc/mcc
829 Myeloproliferative disorders or poorly differentiated neoplasms with other procedures with cc/mcc
830 Myeloproliferative disorders or poorly differentiated neoplasms with other procedures without cc/mcc
843 Other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with mcc
844 Other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with cc
845 Other myeloproliferative disorders or poorly differentiated neoplastic diagnoses without cc/mcc

Code History

2023 (effective 10/1/2022): New code

Diagnosis Index entries containing back-references to Q85.81:

PHTS Q85.81
Syndrome - see also Disease
- Cowden
  - PTEN related Q85.81
- PTEN Q85.81 (hamartoma)

ICD-10-CM Codes Adjacent To Q85.81

Q84.9 Congenital malformation of integument, unspecified

Q85 Phakomatoses, not elsewhere classified

Q85.0 Neurofibromatosis (nonmalignant)

Q85.00 Neurofibromatosis, unspecified

Q85.01 Neurofibromatosis, type 1

Q85.02 Neurofibromatosis, type 2

Q85.03 Schwannomatosis

Q85.09 Other neurofibromatosis

Q85.1 Tuberous sclerosis

Q85.8 Other phakomatoses, not elsewhere classified

Q85.81 PTEN tumor syndrome

Q85.82 Other Cowden syndrome

Q85.83 Von Hippel-Lindau syndrome

Q85.89 Other phakomatoses, not elsewhere classified

Q85.9 Phakomatosis, unspecified

Q86 Congenital malformation syndromes due to known exogenous causes, not elsewhere classified

Q86.0 Fetal alcohol syndrome (dysmorphic)

Q86.1 Fetal hydantoin syndrome

Q86.2 Dysmorphism due to warfarin

Q86.8 Other congenital malformation syndromes due to known exogenous causes

Q87 Other specified congenital malformation syndromes affecting multiple systems

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

2023 ICD-10-CM Diagnosis Code Q85.81

PTEN tumor syndrome

Genetic susceptibility to malignant neoplasm

Congenital malformations, deformations and chromosomal abnormalities

Phakomatoses, not elsewhere classified

Other phakomatoses, not elsewhere classified