QA0.01Non-billable

Neurodevelopmental disorders related to pathogenic variants in certain specific genes

Congenital Malformations, Deformations and Chromosomal Abnormalities·Neurodevelopmental disorders related to pathogenic variants in specific genes·subcategory·FY 2027

12 billable codes under QA0.01: 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 QA0.01.

Code also: add a code for this too, order depends on the encounter

  • if applicable, any associated conditions, such as:
  • attention-deficit hyperactivity disorders (F90.-)
  • autism spectrum disorder (F84.0)
  • developmental and epileptic encephalopathy (G93.45)
  • epilepsy, by specific type (G40.-)
  • intellectual disabilities (F70-F79)
  • pervasive developmental disorders (F84.-)

MS-DRGs

As the principal diagnosis, all 12 billable codes under QA0.01 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.