Established Conditions

The below is not an exhaustive list. The ICD10 code for each condition is in parentheses. This list was last revised 1/1/2018.

Genetic and Metabolic Disorders

  • Albinism (E70.30)
  • Albright’s Hereditary Osteodystrophy (E20.1)
  • Angelman Syndrome (Happy Puppet Syndrome) (Q93.5)
  • Adrenoleukodystrophy (E71.529)
  • Antley-Bixler Syndrome (Multisynostotic Osteodysgenesis, Craniosynostosis, Choanal Atresia, Radial Humeral Synostosis, Trapezoidocephaly-Multiple Synostosis Syndrome, ABS, Multisynostotic Osteodysgenesis with Long Bone Fractures) (Q87.5)
  • Apert Syndrome (Acrocephalosyndactyly) (Q87.0
  • Arthrogryposis Multiplex Congenita (Q74.3)
  • Ataxia-Telangiectasia Syndrome (Louis-Bar Syndrome) (G11.3)
  • Canavan Disease (E75.29)
  • Cardio-Facio-Cutaneo Syndrome (Q87.89)
  • Cerebral Lipidosis (E75.6)
  • Cerebro-Oculo-Facio-Skeletal (COFS) Syndrome (Q87.8)
  • CHARGE Syndrome/Association (Q89.8)
  • Chromosome Syndromes10p+, 13q+, 3q+, 4Q+ (Q92.5)
  • Chromosome Syndromes 11p- (this one also called Jacobsen syndrome), 12p-, 13q-,18q-, 21q-, 22q-, , 4q-, (this is also Wolf-Hirschhorn syndrome) 5p- (already below as cri-du-chat syndrome) (Q93.89)
  • Coffin-Lowry Syndrome (Q89.8)
  • Coffin-Siris Syndrome (Q03.1)
  • Cornelia de Lange Syndrome (Brachmann de Lange) (Q87.1)
  • Cri-du-chat Syndrome (Deletion 5p Syndrome) (Q93.4)
  • Cystic Fibrosis (E84.0)
  • Dandy Walker Syndrome (Q03.1)
  • Down Syndrome (Trisomy 21) (Q90.9)
  • Duchenne Muscular Dystrophy (G71.0)
  • Dyggve-Melchior-Clausen Syndrome (DMC Disease, DMC Syndrome, Smith-McCort Dysplasia) (Q77.7)
  • Fragile X Syndrome (Q99.2)
  • Fraser Syndrome (Cryptophthalmos Syndrome, Meyer-Schwickerath’s syndrome, Fraser-Francois syndrome, Ullrich-Feichtiger syndrome) (Q87.0)
  • Galactosemia (E74.21)
  • Gaucher Syndrome (Glucosylceramide storage disease; GSDI) (E75.22)
  • Glutaric Aciduria
    • Type I (E72.3)
    • Type II (E71.313)
  • Glycogen Storage Disease (E74.00)
  • Jeune Syndrome (Q77.2)
  • Joubert Syndrome (Q03.1)
  • Krabbe’s disease (E75.23)
  • Lesch-Nyhan Syndrome (E79.1)
  • Lissencephaly Syndrome (Miller-Dieker Syndrome, Agyria) (Q93.88)
  • Maple Syrup Urine (E71.0)
  • Mucolipidosis II, III (E77.0)
  • Organic Acidemias (E71.121)
  • Pelizaeus-Merzbacher disease (E75.29)
  • Peroxisomal Disorders (E71.5)
  • Phenylketonuria (PKU) (E70.0)
  • Phelan-McDermid syndrome (Q93.0)
  • Rubenstein-Taybi Syndrome (Q87.2)
  • Schwartz-Jampel Syndrome (G71.13)
  • Prader-Willi Syndrome (Q87.1)
  • Steinert Myotonic Dystrophy Syndrome (Curschmann-Batten-Steinert syndrome) (G71.11)
  • Tay-Sachs disease (Sandhoff) (E75.02)
  • Trisomy 8 (Q92.9)
  • Trisomy 9 (Q92.9)
  • Tetrasomy 12p (Q99.8)
  • Trisomy 13 (Patau Syndrome) (Q91.7)
  • Trisomy 18 (Edward’s Syndrome) (Q91.3)
  • Tuberous Sclerosis Complex (Q85.1)
  • Urea Cycle Defect (E72.20)
  • Very long chain fatty acid storage diseases (E71.310)
  • Walker-Warburg Syndrome (XO) (G71.2)
  • Williams Syndrome (Q99.8)
  • Zellweger Syndrome (Cerebro-Hepato-Renal Syndrome) (Q87.89)

Neurological Disorders

  • Agyria (Miller-Dieker lissencephaly syndrome (MDLS), agyria syndrome, agyriapachygyria syndrome, classical lissencephaly) (Q04.3)
  • Aicardi Syndrome (Q04.0)
  • Alpers Syndrome/Disease (G31.81)
  • Aphasia (R47.01)
  • Arachnoid cyst with Neuro-Developmental Delay (G93.0)
  • Arhinencephaly (Q04.1)
    • (Holoprosencephaly) (Q04.2)
  • Arnold-Chiari Syndrome, type II (Malformation d’Arnold-Chiari) (Q07.00)
  • Ataxia (R27.0)
  • Cerebral Palsy (G80.9)
  • Cerebral Aneurysm with Neuro-Developmental Delay (I67.1)
  • CNS Tumor with Neuro- Developmental Delay (D49.7)
  • Encephalopathy, Congenital Only (G93.40)
  • Encephalopathy, Static (G93.40)
  • Erb’s Palsy (Brachial Plexus Injury, Perinatal Origin) (P14.0)
  • Extracorporeal Membrane Oxygenation (ECMO) (Z92.81)
  • Holoprosencephaly (Q04.2)
  • Hypertonia (persistent only) (P94.1)
  • Hypoxic Ischemic Encephalopathy (HIE) (P91.60)
  • Lennox-Gastaut Syndrome (G40.812)
  • Intracranial Calcifications (93.89)
  • Intraventricular Hemorrhage
    • Grade 3 (P52.21)
    • Grade 4 (P52.22)
  • Meningocele (cervical) (Q05.5)
  • Microcephaly (Q02)
  • Miller-Dieker Syndrome (Q93.88)
  • Mitochondrial Disorder (E88.40)
  • Multiple Anomalies of the Brain (Q04.9)
  • Myopathy (G72.89)
  • Neonatal/Perinatal Asphyxia (5 minute Apgar score of 6 or less, Cord PH < 7, Evidence of Central Nervous System involvement, Organ failure, Resuscitation) (P84)
  • Periventricular Leukomalacia (PVL) (91.2)
  • Spina Bifida (Q05.9)
  • Spinocerebellar Disorders (G11.8)

Severe Attachment Disorders

  • Anxiety Disorders of Infancy and Early Childhood (F41.1)
  • Depression of Infancy and Early Childhood (F33.40)
  • Infantile Anorexia (R63.0)

Autism Spectrum Disorders

  • Asperger’s Disorder (F84.5)
  • Autism Spectrum Disorder (F84.0)
  • Pervasive Developmental Disorder (F84.9)
  • Rett’s Syndrome (F84.2)

Significant Sensory Impairment

  • Auditory Neuropathy (H93.299)
  • Aural Atresia (bilateral or unilateral) (Q16.1)
  • Blindness (“legal” blindness or 20/200 best acuity with correction) (H54.8)
  • Optic Nerve Hypoplasia (De Morsier’s Syndrome) (H47.039)
    • Septo Optic Dysplasia (Q04.4)
  • Retinopathy of Prematurity Stage III and/or IV (ROP)
    • Stage 3 unspecified (H35.149)
      • Bilateral (H35.143)
      • Left eye (H35.142)
      • Right eye (H35.141)
    • Stage 4 unspecified (H35.159)
      • Bilateral (H35.153)
      • Left eye (H35.152)
      • Right eye (H35.151)
    • Stage 5 unspecified (H35.169)
      • Bilateral (H35.163)
      • Left eye (H35.162)
      • Right eye (H35.161)
  • Sensorineural hearing loss in excess of 25 dB HL (H90.5)

Other

  • Fetal Alcohol Syndrome (Q86.0)
  • Hydrocephalus (congenital or acquired) (G91.9)
  • Lead Poisoning (R78.71)
  • Low Birth Weight (<1,200 grams at birth) (P07.00)
  • Zika Confirmed Congenital with Symptoms (A92.5)
  • Zika Confirmed Congenital No Symptoms (A92.5)
  • Zika Probable Congenital with Symptoms (A92.5)
  • Zika Probable Congenital No Symptoms (A92.5)