Q87.11
Billable

Prader-Willi syndrome

Billable / Specific Code

What is Prader-Willi syndrome?

ICD-10-CM Q87.11 is the diagnosis code for Prader-Willi syndrome. This code falls under the section "Other congenital malformations" within Chapter 17 — Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

Coding Guidelines for Q87.11

Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.

ICD-10-CM Code Hierarchy

Understanding where Q87.11 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is Q87.11 a billable ICD-10-CM code?

Yes, Q87.11 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does Q87.11 mean?

Q87.11 is the ICD-10-CM diagnosis code for "Prader-Willi syndrome". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of Q87.11?

The parent code of Q87.11 is Q87.1 ("Congenital malformation syndromes predominantly associated with short stature"). Q87.11 provides a more specific classification within this category.

What section is Q87.11 in?

Q87.11 is located in Section Q80-Q89 — "Other congenital malformations" within Chapter 17 of the ICD-10-CM Tabular List.

When should I use Q87.11?

Use Q87.11 when the patients documented diagnosis matches "Prader-Willi syndrome" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Prader-Willi syndrome?

The ICD-10-CM code for Prader-Willi syndrome is Q87.11.

Can Q87.11 be used for primary diagnosis?

Yes, Q87.11 can be used as a primary diagnosis code since it is billable and specific.

What chapter is Q87.11 in?

Q87.11 is in Chapter 17 of the ICD-10-CM Tabular List.

Is Q87.11 valid for 2026?

Yes, Q87.11 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousQ87.1Congenital malformation syndromes predominantly associated with short statureNext →Q87.19Other congenital malformation syndromes predominantly associated with short stature
Code Details
Q87.11
Prader-Willi syndrome
Billable / Specific Code
17 — Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0)
Q80-Q89 — Other congenital malformations
2026 ICD-10-CM