Is ICD-10-CM code QA0.015 billable?

No, QA0.015 (Neurodevelopmental disorders, related to genes associated with transcription and gene expression) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code QA0.015 belong to?

QA0.015 belongs to Chapter 17 of the ICD-10-CM tabular list: Q00–Q99 (Congenital Malformations, Deformations and Chromosomal Abnormalities).

QA0.015Non-billable

Neurodevelopmental disorders, related to genes associated with transcription and gene expression

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

2 billable codes under QA0.015: 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 QA0.015.

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.-)

All codes under QA0.015

QA0.015 can't be used on a claim. Pick a billable code below; grey headings group them.

MS-DRGs

As the principal diagnosis, all 2 billable codes under QA0.015 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.