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E23.3 vs Q87.11

E23.3 (Hypothalamic dysfunction, not elsewhere classified) compared with Q87.11 (Prader-Willi syndrome), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. E23.3 carries an Excludes1 note covering Q87.11: “Prader-Willi syndrome (Q87.11)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

E23.3Hypothalamic dysfunction, not elsewhere classifiedQ87.11Prader-Willi syndrome
Billing statusBillableBillable
ClassificationE00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
DefinitionHypothalamic dysfunction, not elsewhere classified is a billable ICD-10-CM diagnosis code (E23.3).Prader-Willi syndrome is a billable ICD-10-CM diagnosis code (Q87.11).
Includes
the listed conditions whether the disorder is in the pituitary or the hypothalamus
Use additional code
code(s) to identify all associated manifestations

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources