ICD-10 QA0.0109
Billable / SpecificNeurodevelopmental disorder related to pathogenic variant in other ion channel gene
About ICD-10-CM QA0.0109
ICD-10-CM code QA0.0109 represents Neurodevelopmental disorder related to pathogenic variant in other ion channel gene. This is a billable/specific code in the Congenital Malformations chapter (block QA0). The 2026 edition of ICD-10-CM QA0.0109 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under QA0.0109. Per CMS ICD-10-CM Tabular 2026.
- SCN8A-related neurodevelopmental disorder
Medicare LCD Coverage for QA0.0109
Local Coverage Determinations (LCDs) from CMS MACs that list QA0.0109 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 QA0.0109.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but QA0.0109 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with QA0.0109
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 QA0.0109
Other codes in section QA0 (Genetic disorders, not elsewhere classified).
ICD-10 QA0.0109, Billing FAQ
Is ICD-10 code QA0.0109 billable? +
Yes, QA0.0109 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to QA0.0109? +
ICD-10 QA0.0109 includes: SCN8A-related neurodevelopmental disorder.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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