2020 ICD-10-CM Diagnosis Code Q87.11

Prader-Willi syndrome

    2020 - New Code Billable/Specific Code POA Exempt
  • Q87.11 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • ICD-10-CM Q87.11 is a new 2020 ICD-10-CM code that became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Q87.11 - other international versions of ICD-10 Q87.11 may differ.
The following code(s) above Q87.11 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 Q87.11:
  • 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
  • Q87
    ICD-10-CM Diagnosis Code Q87

    Other specified congenital malformation syndromes affecting multiple systems

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Use Additional
    • code(s) to identify all associated manifestations
    Other specified congenital malformation syndromes affecting multiple systems
  • Q87.1
    ICD-10-CM Diagnosis Code Q87.1

    Congenital malformation syndromes predominantly associated with short stature

      2016 2017 2018 2019 2020 - Converted to Parent Code Non-Billable/Non-Specific Code
    Type 1 Excludes
    • Ellis-van Creveld syndrome (Q77.6)
    • Smith-Lemli-Opitz syndrome (E78.72)
    Congenital malformation syndromes predominantly associated with short stature
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.
  • Q87.11 is considered exempt from POA reporting.
ICD-10-CM Q87.11 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 564 Other musculoskeletal system and connective tissue diagnoses with mcc
  • 565 Other musculoskeletal system and connective tissue diagnoses with cc
  • 566 Other musculoskeletal system and connective tissue diagnoses without cc/mcc
Code History
  • 2020 (effective 10/1/2019): New code
Code annotations containing back-references to Q87.11:
  • Type 1 Excludes: E23.3
    , E66
    ICD-10-CM Diagnosis Code E23.3

    Hypothalamic dysfunction, not elsewhere classified

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 1 Excludes
    • Prader-Willi syndrome (Q87.11)
    • Russell-Silver syndrome (Q87.19)
    ICD-10-CM Diagnosis Code E66

    Overweight and obesity

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code First
    • obesity complicating pregnancy, childbirth and the puerperium, if applicable (O99.21-)
    Type 1 Excludes
    • adiposogenital dystrophy (E23.6)
    • lipomatosis NOS (E88.2)
    • lipomatosis dolorosa [Dercum] (E88.2)
    • Prader-Willi syndrome (Q87.11)
    Use Additional
    • code to identify body mass index (BMI), if known (Z68.-)

Diagnosis Index entries containing back-references to Q87.11:
  • Prader-Willi syndrome Q87.11
  • Syndrome - see also Disease
    • Prader-Willi Q87.11

ICD-10-CM Codes Adjacent To Q87.11
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
Q87.4 Marfan's syndrome
Q87.40 …… unspecified
Q87.41 Marfan's syndrome with cardiovascular manifestations
Q87.410 Marfan's syndrome with aortic dilation
Q87.418 Marfan's syndrome with other cardiovascular manifestations
Q87.42 …… with ocular manifestations
Q87.43 …… with skeletal manifestation

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