A qualified genetics counselor is working with a child who has been diagnosed with fragile X syndrome. After extensive research about the condition, she meets with the parents to discuss the features of the disease and the child’s prognosis. The session lasted 45 minutes. What CPT® and ICD-10-CM codes are reported?

96040, Q99.2 are the codes for CPT and ICD-10-CM respectively.

Explanation:

Fragile X syndrome, also known as Martin-Bell syndrome is a genetic condition which causes developmental problems including cognitive impairment and intellectual disabilites especially among boys.

Individuals affected usually have delayed development of speech and language by age 2.

Q99.2 is a billable ICD code detailed enough for the diagnosis of fragile X chromosome. So in the ICD-10-CM Alphabetic Index , we look for Fragile X which takes us to Q99.2.

The Current Procedural Terminology (CPT) code for Fragile X syndrome as maintained by American Medical Association, is 96040. This is a medical procedural code under the range of Medical Genetics and Genetic Counseling services.

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