There is not a specific code for branchio-oto-renal syndrome (also called Melnick-Fraser syndrome). Per the ICD-10-CM guidelines, when the alphabetic index does not provide guidance for reporting a syndrome, assign codes for the documented manifestations of the syndrome, including any manifestations that are not an integral part of the disease process. Code Q87.89 is used to report other specified congenital malformation syndromes, not elsewhere classified. Instructions at code Q87.89 are to use additional codes to identify all associated manifestations (ie, malformations of the ear, hearing impairment, branchial fistulae or clefts, and renal malformations).

Yes. Code 99408 (alcohol and/or substance [other than tobacco] abuse structured screening [eg, Alcohol Use Disorders Identification Test, Drug Abuse Screening Test], and brief intervention [SBI] services; 15 to 30 minutes) is appropriate for the combination of screening using the CRAFFT instrument and brief intervention lasting 15 to 30 minutes. This is reported in addition to the...

You do not currently have access to this content.