ICD-10-CM Billable Code

Q99.811

Usher syndrome, type 1

Clinical Classification Guidelines

Medical Intelligence & Overview

Usher syndrome, type 1, is a rare genetic disorder characterized by profound hearing loss from birth and an early onset of vision loss due to retinitis pigmentosa. This condition affects both hearing and vision, leading to significant challenges in communication and mobility. People with Usher syndrome type 1 often experience balance difficulties in early childhood, which can impact motor development. Early diagnosis and management are essential to help individuals adapt and maximize their quality of life.

Causes & Symptoms

Clinical Causes: Genetic mutations inherited in an autosomal recessive pattern Mutations affecting genes responsible for the development and function of the inner ear and retina Family history of Usher syndrome or related genetic conditions

Key Symptoms: Congenital profound hearing loss or deafness Balance problems and delayed motor milestones during early childhood Night blindness and gradual loss of peripheral vision Progressive vision deterioration starting in childhood or adolescence Tinnitus or ringing in the ears (sometimes)

Diagnostic & Treatment

Diagnosis Path: Diagnosis of Usher syndrome type 1 involves a comprehensive evaluation including:

Treatment Protocols: There is currently no cure for Usher syndrome type 1, but various interventions can help manage symptoms and improve quality of life:

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 Q99.811 a billable ICD-10 code?
Yes, Q99.811 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report Q99.811?
Clinical documentation must specify the nature of Usher syndrome, type 1 and any associated comorbidities for accurate reporting.

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