Neurodevelopmental disorders related to pathogenic variants in specific genes
Congenital Malformations, Deformations and Chromosomal Abnormalities·Neurodevelopmental disorders related to specific genetic pathogenic variants·subcategory·FY 2027
12 billable codes under QA0.0: all are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
Instructional notes
Also applies, from QA0: Neurodevelopmental disorders related to specific genetic pathogenic variants
These notes sit on QA0 and apply to every code under it, including QA0.0.
Code also: add a code for this too, order depends on the encounter
All codes under QA0.0
QA0.0 can't be used on a claim. Pick a billable code below; grey headings group them.
- QA0.01Neurodevelopmental disorders related to pathogenic variants in certain specific genes
- QA0.010Neurodevelopmental disorders, related to pathogenic variants in ion channel genes
- QA0.0101SCN2A-related neurodevelopmental disorder
- QA0.0102CACNA1A-related neurodevelopmental disorder
- QA0.0109Neurodevelopmental disorder related to pathogenic variant in other ion channel gene
- QA0.011Neurodevelopmental disorders, related to pathogenic variants in glutamate receptor genes
- QA0.012Neurodevelopmental disorders, related to pathogenic variants in other receptor genes
- QA0.013Neurodevelopmental disorders, related to pathogenic variants in other transporter and solute carrier genes
- QA0.0131SLC6A1-related disorder
- QA0.0139Neurodevelopmental disorder, related to pathogenic variant in other transporter or solute carrier gene
- QA0.014Neurodevelopmental disorders, related to pathogenic variants in synapse related genes
- QA0.0141Syntaxin-binding protein 1-related disorder
- QA0.0142DLG4-related synaptopathy
- QA0.0149Neurodevelopmental disorder, related to pathogenic variant in other synapse related gene
- QA0.015Neurodevelopmental disorders, related to genes associated with transcription and gene expression
- QA0.0151FOXG1 syndrome
- QA0.0159Neurodevelopmental disorder, related to other genes associated with transcription and gene expression
MS-DRGs
As the principal diagnosis, all 12 billable codes under QA0.0 group to these MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.