2020 ICD-10-CM Diagnosis Code Q86.0

Fetal alcohol syndrome (dysmorphic)

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • Q86.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM Q86.0 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Q86.0 - other international versions of ICD-10 Q86.0 may differ.
The following code(s) above Q86.0 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 Q86.0:
  • Q00-Q99
    2020 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
  • Q86
    ICD-10-CM Diagnosis Code Q86

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

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • iodine-deficiency-related hypothyroidism (E00-E02)
    • nonteratogenic effects of substances transmitted via placenta or breast milk (P04.-)
    Congenital malformation syndromes due to known exogenous causes, not elsewhere classified
Approximate Synonyms
  • Fetal alcohol syndrome
Clinical Information
  • A condition occurring in fetus or newborn due to in utero ethanol exposure when mother consumed alcohol during pregnancy. It is characterized by a cluster of irreversible birth defects including abnormalities in physical, mental, and behavior development (such as fetal growth retardation; mental retardation; attention deficit and disruptive behavior disorders) with varied degree of severity in an individual.
  • A syndrome that can develop in infants whose mothers consumed alcohol during pregnancy. Manifestations of this syndrome include low birth weight, failure to thrive, developmental defects, organ dysfunction, mental deficiencies, behavioral problems and poor motor coordination.
  • Alcohol can harm your baby at any stage during a pregnancy. That includes the earliest stages before you even know you are pregnant. Drinking alcohol can cause a group of conditions called fetal alcohol spectrum disorders (fasds).effects can include physical and behavioral problems such as trouble with
    • learning and remembering
    • understanding and following directions
    • controlling emotions
    • communicating and socializing
    • daily life skills, such as feeding and bathing
    fetal alcohol syndrome is the most serious type of fasd. People with fetal alcohol syndrome have facial abnormalities, including wide-set and narrow eyes, growth problems and nervous system abnormalities.fasds last a lifetime. There is no cure for fasds. Treatments can help. These include medicines to help with some symptoms and behavior therapy. No one treatment is right for every child. Centers for Disease Control and Prevention.
  • Developmental abnormalities in infants born to alcoholic mothers, including characteristic facial appearance (microcephaly, maxillary hypoplasia, short palpebral fissures, and short upturned nose), growth deficiency, delayed intellectual development, motor retardation, joint abnormalities, poor coordination, and irritability. The pattern of abnormalities varies and may include additional oral, ocular, cardiac, urogenital, cutaneous, and other abnormalities.
  • Disorder occurring in children born to alcoholic women who continue to drink heavily during pregnancy; common abnormalities are growth deficiency (prenatal and postnatal), altered morphogenesis, mental deficiency, and characteristic facies - small eyes and flattened nasal bridge; fine motor dysfunction and tremulousness are observed in the newborn.
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.
  • Q86.0 is considered exempt from POA reporting.
ICD-10-CM Q86.0 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 794 Neonate with other significant problems

Convert Q86.0 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to Q86.0:
  • Type 1 Excludes: P04.3
    ICD-10-CM Diagnosis Code P04.3

    Newborn affected by maternal use of alcohol

      2016 2017 - Revised Code 2018 2019 2020 Billable/Specific Code Code on Newborn Record
    Type 1 Excludes
    • fetal alcohol syndrome (Q86.0)

Diagnosis Index entries containing back-references to Q86.0:

ICD-10-CM Codes Adjacent To Q86.0
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
Q85.9 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
Q87.0 Congenital malformation syndromes predominantly affecting facial appearance
Q87.1 Congenital malformation syndromes predominantly associated with short stature
Q87.11 Prader-Willi syndrome
Q87.19 Other congenital malformation syndromes predominantly associated with short stature
Q87.2 Congenital malformation syndromes predominantly involving limbs
Q87.3 Congenital malformation syndromes involving early overgrowth

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