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Compare/Q04 vs Q87.0

Q04 vs Q87.0

Q04 (Other congenital malformations of brain) compared with Q87.0 (Congenital malformation syndromes predominantly affecting facial appearance), 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. Q04 carries an Excludes1 note covering Q87.0: “cyclopia (Q87.0)”

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

Q04Other congenital malformations of brainQ87.0Congenital malformation syndromes predominantly affecting facial appearance
Billing statusNon-billable header

Report instead: Q04.0, Q04.1, Q04.2, Q04.3, Q04.4

Billable
ClassificationQ00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
DefinitionOther congenital malformations of brain is a non-billable ICD-10-CM category code (Q04).Congenital malformation syndromes predominantly affecting facial appearance is a billable ICD-10-CM diagnosis code (Q87.0).
Includes
Acrocephalopolysyndactyly
Acrocephalosyndactyly [Apert]
Cryptophthalmos syndrome
Cyclopia
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