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.

Check Q67.3 with the rest of the claim: free scrubber

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-)

Excludes1 inherited from the categories above Q67.3

A category’s note binds every code beneath it.

Written on Q67: Congenital musculoskeletal deformities of head, face, spine and chest

congenital malformation syndromes classified to Q87.-
Potter's syndrome (Q60.6)

Other codes that can never be billed with Q67.3

Their own Excludes1 notes name this code, so the conflict is not listed above.

Q75.01Sagittal craniosynostosis

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

Q67.3 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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

Alphabetic index entries that lead here

Plagiocephaly

Code history

Unchanged in every release from FY2024 to FY2027.