ICD-10 Q07
Non-Billable HeaderOther congenital malformations of nervous system
About ICD-10-CM Q07
ICD-10-CM code Q07 represents Other congenital malformations of nervous system. This is a non-billable header code in the Congenital Malformations chapter (block Q07). The 2026 edition of ICD-10-CM Q07 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 2 Excludes
Not included here, the excluded code is not part of Q07, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- congenital central alveolar hypoventilation syndrome (G47.35)
- familial dysautonomia [Riley-Day] (G90.1)
- neurofibromatosis (nonmalignant) (Q85.0-)
Medicare LCD Coverage for Q07
Local Coverage Determinations (LCDs) from CMS MACs that list Q07 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Q07.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Q07 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Q07
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To Q07
Other codes in section Q00-Q07 (Congenital malformations of the nervous system).
ICD-10 Q07, Billing FAQ
Is ICD-10 code Q07 billable? +
No, Q07 is a non-billable header code. Use a more specific child code from block Q07 when submitting claims.
What codes are Type 2 Excludes for Q07? +
Type 2 Excludes (may be coded together when both conditions exist): congenital central alveolar hypoventilation syndrome (G47.35); familial dysautonomia [Riley-Day] (G90.1); neurofibromatosis (nonmalignant) (Q85.0-)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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