ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 Q87.410

Billable / Specific CC

Marfan syndrome with aortic dilation

Q87
Block
0
Synonyms
218
LCDs
22
Payer Policies
2
Linked CPTs

About ICD-10-CM Q87.410

ICD-10-CM code Q87.410 represents Marfan syndrome with aortic dilation. This is a billable/specific code in the Congenital Malformations chapter (block Q87). The 2026 edition of ICD-10-CM Q87.410 became effective on October 1, 2025.

Coding Tips for Q87.410

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

Q87.410 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inpatient DRG Impact, CC

codes Marfan syndrome with aortic dilation. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for Q87.410

Local Coverage Determinations (LCDs) from CMS MACs that list Q87.410 as a covered diagnosis.

218 LCDs

Showing top 10 of 218 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92201 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92250 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92202 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92227 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92228 →
CMS LCD: Billing and Coding: Transesophageal Echocardiography (TEE)
Article ID: 52868, Effective: 2025-01-01 00:00:00, 773 covered, 0 non-covered
CPT 93320 →
CMS LCD: Billing and Coding: Transesophageal Echocardiography (TEE)
Article ID: 52868, Effective: 2025-01-01 00:00:00, 773 covered, 0 non-covered
CPT 93313 →
CMS LCD: Billing and Coding: Transesophageal Echocardiography (TEE)
Article ID: 52868, Effective: 2025-01-01 00:00:00, 773 covered, 0 non-covered
CPT 93312 →
CMS LCD: Billing and Coding: Transesophageal Echocardiography (TEE)
Article ID: 52868, Effective: 2025-01-01 00:00:00, 773 covered, 0 non-covered
CPT 76376 →
CMS LCD: Billing and Coding: Transesophageal Echocardiography (TEE)
Article ID: 52868, Effective: 2025-01-01 00:00:00, 773 covered, 0 non-covered
CPT 93318 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Q87.410.

22 policies

2 Cigna

Duplex Scan of Extracranial Arteries - (0542)
Policy ID: MM_0542
Transthoracic Echocardiography in Adults - (0510)
Policy ID: MM_0510

5 Medicare

Billing and Coding: Transesophageal Echocardiography (TEE)
Policy ID: ART-52868
Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Policy ID: ART-53060
Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580
Billing and Coding: Echocardiography
Policy ID: ART-56625
Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
Policy ID: ART-56726

CPT Codes Commonly Billed with Q87.410

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

2 linkages
  • 81411 CMS LCD: Billing and Coding: MolDX: Genetic Testing in Heritable Thoracic Aortic Disease CMS LCD
  • 81410 CMS LCD: Billing and Coding: MolDX: Genetic Testing in Heritable Thoracic Aortic Disease CMS LCD

Convert Q87.410 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
Q87.410 75982 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 Q87.410, Billing FAQ

Is ICD-10 code Q87.410 billable? +

Yes, Q87.410 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is Q87.410 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with Q87.410? +

Procedures frequently paired with Q87.410 include: 81411, 81410.

What ICD-9 codes does Q87.410 map to? +

Per CMS GEMs, Q87.410 maps to ICD-9 codes: 75982. Useful for legacy data review and historical claim analysis.

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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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