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Code
Description

ICD-10-CM Code Q86.0
Fetal alcohol syndrome (dysmorphic)

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

Q86.0 is a billable ICD code used to specify a diagnosis of fetal alcohol syndrome (dysmorphic). 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 Q860 is used to code Fetal alcohol spectrum disorder

Fetal alcohol spectrum disorders (FASD) are a group of conditions that can occur in a person whose mother drank alcohol during pregnancy. Problems may include an abnormal appearance, short height, low body weight, small head, poor coordination, low intelligence, behavior problems, and problems with hearing or seeing. Those affected more commonly have trouble in school, have trouble with law enforcement, are frequently jailed, are involved in high risk sexual activity, and have trouble with alcohol or other drugs. The most severe form of the condition is known as fetal alcohol syndrome (FAS). Other types include partial fetal alcohol syndrome (pFAS), alcohol-related neurodevelopmental disorder (ARND) and alcohol-related birth defects (ARBD).

Specialty: Pediatrics, Toxicology
MeSH Code: D005310
ICD 9 Code: 760.71

Baby with fetal alcohol syndrome.

MS-DRG Mapping

  • DRG Group #794 - Neonate with other significant problems.

Related Concepts SNOMET-CT

  • Fetal Alcohol Spectrum Disorder (disorder)

ICD-10-CM Alphabetical Index References for 'Q86.0 - Fetal alcohol syndrome (dysmorphic)'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Q86.0. Click on any term below to browse the alphabetical index.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

Alcohol affecting fetus or newborn via placenta or breast milk (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 Q86.0 and a single ICD9 code, 760.71 is an approximate match for comparison and conversion purposes.


Parent Code: Q86 - Congenital malformation syndromes due to known exogenous causes, not elsewhere classified

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/Q860