ICD-10 · PDGM grouping
Q87 Other specified congenital malformation syndromes affecting multiple systems
All 21 codes in the Q87 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
21
Can lead a claim
21
Cannot lead a claim
0
What CMS assigns to Q87
All 21 codes group to MMTA - Other (20) and Neuro Rehabilitation (1). None of the 21 is assigned a comorbidity subgroup. Every code can lead a claim.
Every code in Q87
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| Q87.0 | Congenital malformation syndromes predominantly affecting facial appearanceCMS: Congen malform syndromes predom affecting facial appearance | Can lead a claim | A | None |
| Q87.1 Congenital malformation syndromes predominantly associated with short stature | ||||
| Q87.11 | Prader-Willi syndrome | Can lead a claim | A | None |
| Q87.19 | Other congenital malformation syndromes predominantly associated with short statureCMS: Other congen malform synd predom assoc with short stature | Can lead a claim | A | None |
| Q87.2 | Congenital malformation syndromes predominantly involving limbsCMS: Congenital malformation syndromes predom involving limbs | Can lead a claim | A | None |
| Q87.3 | Congenital malformation syndromes involving early overgrowth | Can lead a claim | A | None |
| Q87.4 Marfan syndrome | ||||
| Q87.40 | Marfan syndrome, unspecified | Can lead a claim | A | None |
| Q87.41 Marfan syndrome with cardiovascular manifestations | ||||
| Q87.410 | Marfan syndrome with aortic dilation | Can lead a claim | A | None |
| Q87.418 | Marfan syndrome with other cardiovascular manifestations | Can lead a claim | A | None |
| Q87.42 | Marfan syndrome with ocular manifestations | Can lead a claim | A | None |
| Q87.43 | Marfan syndrome with skeletal manifestation | Can lead a claim | A | None |
| Q87.5 | Other congenital malformation syndromes with other skeletal changesCMS: Oth congenital malformation syndromes w oth skeletal changes | Can lead a claim | A | None |
| Q87.8 Other specified congenital malformation syndromes, not elsewhere classified | ||||
| Q87.81 | Alport syndrome | Can lead a claim | A | None |
| Q87.82 | Arterial tortuosity syndrome | Can lead a claim | A | None |
| Q87.83 | Bardet-Biedl syndrome | Can lead a claim | A | None |
| Q87.84 | Laurence-Moon syndrome | Can lead a claim | A | None |
| Q87.85 | MED13L syndrome | Can lead a claim | A | None |
| Q87.86 | Kleefstra syndrome | Can lead a claim | A | None |
| Q87.87 | Hao-Fountain Syndrome | Can lead a claim | A | None |
| Q87.88 | CTNNB1 syndrome | Can lead a claim | B | None |
| Q87.89 | Other specified congenital malformation syndromes, not elsewhere classifiedCMS: Oth congenital malformation syndromes, NEC | Can lead a claim | A | None |
| Q87.A | Loeys-Dietz syndrome | Can lead a claim | A | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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