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Home/Diagnosis/ICD-10 Coding for Fetal Alcohol Syndrome

ICD-10 Coding for Fetal Alcohol Syndrome

Q86.0
P04.3

Complete ICD-10-CM coding and documentation guide for icd-10 coding for fetal alcohol syndrome includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
FAS
Fetal Alcohol Spectrum Disorder
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Key Information: ICD-10 Coding for Fetal Alcohol Syndrome

Essential facts and insights about ICD-10 Coding for Fetal Alcohol Syndrome

Use ICD-10 code Q86.0 for fetal alcohol syndrome (dysmorphic), ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Fetal alcohol syndrome (dysmorphic)

Billable Code
Q86.0
Billable

Diagnostic Criteria

clinical:
  • • Presence of all diagnostic criteria for FAS.
coding:
  • • Do not use with P04.3.

Applicable To

  • • Confirmed FAS diagnosis

Important Notes

  • • Ensure all diagnostic criteria are documented before using Q86.0.

Newborn affected by maternal alcohol use

Billable Code
P04.3
Billable

Diagnostic Criteria

clinical:
  • • Maternal alcohol use during pregnancy
  • • No confirmed FAS features

Applicable To

  • • Suspected maternal alcohol exposure

Important Notes

  • • Ensure documentation of maternal alcohol use is present.
Ancillary Codes

Additional codes that may be used with this diagnosis

R62.51

Short stature

Use for documenting growth deficiencies associated with FAS.

F70

Mild intellectual disability

Use for documenting neurodevelopmental issues in FAS.

Frequently Asked Questions

What is the ICD-10 code for fetal alcohol syndrome?

The ICD-10 code for fetal alcohol syndrome is Q86.0, used for confirmed cases with all diagnostic criteria met.

When should P04.3 be used instead of Q86.0?

P04.3 is used for newborns with suspected maternal alcohol exposure but without confirmed FAS features, while Q86.0 is for confirmed FAS cases.

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