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Q75.3 vs Q87

Q75.3 (Macrocephaly) compared with Q87 (Other specified congenital malformation syndromes affecting multiple systems), from the official CMS tabular data.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Summary

No coding relationship between these codes was found in the tabular notes or in MedCoder’s derived relationships.

What is different?

The conditions named and billing status.Q75.3 is “Macrocephaly”; Q87 is “Other specified congenital malformation syndromes affecting multiple systems”. Q87 is a non-billable header; Q75.3 is billable.

Registry fact

Is one a parent or header code?

One is a header.Q87 is a non-billable header, but Q75.3 is not one of its subdivisions.

Registry fact

Nothing found in 5 other checks; 1 check does not apply
Can these codes be reported together?

No instruction prevents it.No note in either entry names the other, and no derived relationship links them. Each may be reported when its own documentation requirements are met.

Registry fact

Is there an Excludes1 relationship?

None.Neither entry carries an Excludes1 note that names the other code. Q75.3 carries 9 Excludes1 notes covering other codes; the side-by-side table quotes them.

Official rule

Is there an Excludes2 relationship?

None.Neither entry carries an Excludes2 note that names the other code.

Official rule

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Yes.

No Excludes1/Excludes2 relationship exists between these codes in the official tabular list. Each may be reported when its own documentation requirements are met.

Side by side

Similar descriptions do not make codes interchangeable. The documentation and the official instructions decide which code applies.

Official descriptionDiffers
Q75.3

Macrocephaly

Q87

Other specified congenital malformation syndromes affecting multiple systems

StatusDiffers
Q75.3
Billable
Q87
Non-billable header

A header is not reported on a claim; a code beneath it is.

Report instead: Q87.0, Q87.11, Q87.19, Q87.2, Q87.3

Excludes1Differs
Q75.3
  • congenital malformation of face NOS (Q18.-)
  • congenital malformation syndromes classified to Q87.-
  • dentofacial anomalies [including malocclusion] (M26.-)
  • musculoskeletal deformities of head and face (Q67.0-Q67.4)
  • skull defects associated with congenital anomalies of brain such as:
  • anencephaly (Q00.0)
  • encephalocele (Q01.-)
  • hydrocephalus (Q03.-)
  • microcephaly (Q02)
Q87

None at this code

Use additional codeDiffers
Q75.3

None at this code

Q87
  • code(s) to identify all associated manifestations
CategoryDiffers
Q75.3

Q75 Other congenital malformations of skull and face bones

Q87

Is itself a category

ChapterSame for both

Q00-QA1 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-QA1)

No Excludes2, Code first, Code also, Includes and 7th character note at either code.

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on. In a row that differs, each code’s own notes are listed under it, and the notes every code shares are listed once beneath them.

Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources