Is ICD-10-CM code QA0.011 billable?

Yes, QA0.011 (Neurodevelopmental disorders, related to pathogenic variants in glutamate receptor genes) is a billable ICD-10-CM diagnosis code, valid for reimbursement on HIPAA-covered transactions for FY2027.

Is QA0.011 exempt from POA reporting?

Yes, QA0.011 is on the CMS list of ICD-10-CM codes exempt from Present On Admission (POA) reporting for FY2027. Inpatient claims do not require a POA indicator for this code.

What chapter does ICD-10-CM code QA0.011 belong to?

QA0.011 belongs to Chapter 17 of the ICD-10-CM tabular list: Q00–Q99 (Congenital Malformations, Deformations and Chromosomal Abnormalities).

QA0.011BillableCC No HCC POA Exempt

Neurodevelopmental disorders, related to pathogenic variants in glutamate receptor genes

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

Also indexed as: Disorder, neurodevelopmental: GRIN1-related; GRIN2A-related; GRIN2B-related; GRIN2D-related; GRIA1-related; GRIA2-related; GRIA3-related; GRIA4-related; GRIK2-related; other, glutamate receptor, ionotropic, related

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 QA0.011.

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.-)

Where QA0.011 sits

QA0-QA1 Genetic disorders, not elsewhere classified (QA0-QA1)
QA0 Neurodevelopmental disorders related to specific genetic pathogenic variants
QA0.0 Neurodevelopmental disorders related to pathogenic variants in specific genes
QA0.01 Neurodevelopmental disorders related to pathogenic variants in certain specific genes
QA0.011 Neurodevelopmental disorders, related to pathogenic variants in glutamate receptor genes

MS-DRGs

As the principal diagnosis, this code groups 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.

Code history

FY 2025: replaced F89 (Unspecified disorder of psychological development)