Is Q67.3 a billable ICD-10-CM code?

Yes. Q67.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Q67.3 sit in the tabular list?

Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations and deformations of the musculoskeletal system (Q65-Q79).

What cannot be coded together with Q67.3?

Q67.3 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

Q67.3

Q67.3 — Plagiocephaly

Billable / specific codeICD-10-CMPOA exempt

Q67.3 is a billable, specific ICD-10-CM code for plagiocephaly. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

coronal craniosynostosis (Q75.02-)
lambdoid craniosynostosis (Q75.04-)

Other codes that can never be billed with Q67.3

These codes carry an Excludes1 note pointing at Q67.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q67.3 alone.

Q75.01Sagittal craniosynostosis

Risk adjustment

Q67.3 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

Q67.3 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56658Billing and Coding: Cosmetic and Reconstructive Surgery
A57204Billing and Coding: MRI and CT Scans of the Head and Neck

How Q67.3 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Q67.3.

Plagiocephaly

Related codes at this level

Codes that share Q67. If Q67.3 is not quite right, the correct code is usually one of these.

Questions about Q67.3

Is Q67.3 a billable ICD-10-CM code?: Yes. Q67.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Q67.3 sit in the tabular list?: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations and deformations of the musculoskeletal system (Q65-Q79).
What cannot be coded together with Q67.3?: Q67.3 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.