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ICD-10-CM Code Q80.4
Harlequin fetus

BILLABLE
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
POA Exempt
POA Exempt Code
The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.
| ICD-10 from 2011 - 2016

Q80.4 is a billable ICD code used to specify a diagnosis of harlequin fetus. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

POA Indicators on CMS form 4010A are as follows:

IndicatorMeaningCMS Will Pay CC/MCC DRG Costs
YDiagnosis was present at time of inpatient admissionYes
NDiagnosis was not present at time of inpatient admissionNo
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.No
WClinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission.Yes
1Exempt from POA reportingNo


The ICD code Q804 is used to code Harlequin-type ichthyosis

Harlequin-type ichthyosis (also known as harlequin baby, harlequin ichthyosis, hyosis fetalis, keratosis diffusa fetalis, harlequin fetus,:562 and ichthyosis congenita gravior), is a severe genetic skin disease, which causes thickening of the stratum corneum of the epidermis. At birth, the child’s whole body is encased in an 'armour' of thick white plates of skin, separated with deep cracks. In addition, the eyes, ears, penis, and the appendages may be abnormally contracted. Because of resultant cracked skin in locations where normal skin would fold, it is easily pregnable by bacteria and other contaminants, which can result in serious risk of fatal infection. Constant care is required to moisturise and protect the skin.

Specialty: Dermatology
MeSH Code: D017490
ICD 9 Code: 757.1

Harlequin fetus (1886)

Source: Wikipedia

MS-DRG Mapping

  • DRG Group #606-607 - Minor skin disorders with MCC.
  • DRG Group #606-607 - Minor skin disorders without MCC.

ICD-10-CM Alphabetical Index References for 'Q80.4 - Harlequin fetus'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Q80.4. Click on any term below to browse the alphabetical index.

Harlequin(newborn) (Q80.4)

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

Ichthyosis congenita (approximate match)

This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code Q80.4 and a single ICD9 code, 757.1 is an approximate match for comparison and conversion purposes.


Parent Code: Q80 - Congenital ichthyosis

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/Q804