ICD-10-CM Billable Code

Q86.0

Fetal alcohol syndrome (dysmorphic)

Clinical Classification Guidelines

Medical Intelligence & Overview

Fetal Alcohol Syndrome (FAS) is a condition resulting from alcohol consumption during pregnancy. It can cause a range of physical, mental, and behavioral issues in the developing fetus. Recognized officially under the ICD-10 code Q86.0, FAS is a preventable disorder linked to prenatal alcohol exposure. It is one of the leading causes of birth defects and developmental disabilities worldwide. Early awareness and intervention can significantly improve outcomes for affected children.

Causes & Symptoms

Clinical Causes: Mother consumes alcohol during pregnancy, especially in high amounts or over extended periods. Binge drinking episodes that involve consuming large quantities of alcohol in a short time. Chronic alcohol use before and throughout pregnancy.

Key Symptoms: Distinct facial features, such as a smooth philtrum (the groove between the nose and upper lip), thin upper lip, and small eye openings. Growth deficiencies, including low birth weight or poor postnatal growth. Central nervous system problems, which can lead to intellectual disabilities, developmental delays, and behavioral issues. Poor coordination and balance. Problems with learning and memory. Possible hearing or vision issues. Difficulty paying attention or hyperactivity.

Diagnostic & Treatment

Diagnosis Path: Diagnosis of FAS involves a comprehensive evaluation including maternal alcohol history, physical examinations, and assessments of growth and neurological development. Healthcare professionals look for characteristic facial features and evidence of neurodevelopmental problems. No single test confirms FAS; instead, diagnosis is based on clinical criteria and developmental assessments.

Treatment Protocols: While there is no cure for FAS, early intervention can help manage symptoms. Treatment approaches may include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is Q86.0 a billable ICD-10 code?
Yes, Q86.0 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report Q86.0?
Clinical documentation must specify the nature of Fetal alcohol syndrome (dysmorphic) and any associated comorbidities for accurate reporting.

Cite this Clinical Reference

Related Diagnosis Codes

Clinical Meta Tags

syndrome alcohol fetal