ICD-10 Coding for Noonan Syndrome(Q87.19)
Complete ICD-10-CM coding and documentation guide for Noonan Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Noonan Syndrome
Q87.1-Q87.9Primary Range
Congenital malformation syndromes predominantly associated with short stature
This range includes Noonan syndrome and related congenital malformation syndromes.
Key Information: ICD-10 code for Noonan syndrome
Essential facts and insights about Noonan Syndrome
Primary ICD-10-CM Code for noonan syndrome
Decision Criteria
clinical Criteria
- Presence of characteristic facial features and congenital heart defects
coding Criteria
- Genetic confirmation of a mutation in the Ras/MAPK pathway
documentation Criteria
- Detailed documentation of clinical features and genetic test results
Clinical Validation Requirements
- Confirmed genetic mutation (e.g., PTPN11, SOS1, KRAS)
- Characteristic facial features
- Congenital heart defects
Code-Specific Risks
- Misclassification if genetic testing is not documented
- Omission of associated manifestation codes
Coding Notes
- Ensure genetic testing results are documented to support the diagnosis of Noonan syndrome.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Hypertrophic cardiomyopathy
I42.2Pulmonary valve stenosis
Q22.1Short stature
R62.50Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Noonan Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Q87.19.
Impact
Clinical: Misdiagnosis or delayed diagnosis due to lack of specificity., Regulatory: Increased risk of audits and coding queries., Financial: Potential denial of claims due to insufficient documentation.
Mitigation Strategy
Use specific terms for facial features and genetic findings, Ensure all clinical manifestations are documented
Impact
Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure documentation specifies Noonan syndrome to use Q87.19.
Impact
Reimbursement: Potential loss of additional reimbursement for complex cases., Compliance: Failure to capture the full clinical picture., Data Quality: Incomplete data affecting patient care and research.
Mitigation Strategy
Always code associated conditions like cardiomyopathy or short stature.
Impact
Lack of documentation for genetic testing when coding Noonan syndrome.
Mitigation Strategy
Ensure all genetic test results are included in the patient's record.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Noonan Syndrome, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Noonan Syndrome
Use these documentation templates to ensure complete and accurate documentation for Noonan Syndrome. These templates include all required elements for proper coding and billing.
Patient with confirmed Noonan syndrome and cardiac manifestations
Specialty: CardiologyRequired Elements
- Characteristic facial features
- Genetic test results
- Echocardiogram findings
- Growth chart data
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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