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Q67.4

Q67.4: Other congenital deformities of skull, face and jaw

Billable / specific codeICD-10-CMPOA exempt

Q67.4 is a billable, specific ICD-10-CM code for other congenital deformities of skull, face and jaw. It is valid for submission on a claim.

Check Q67.4 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.

  • dentofacial anomalies [including malocclusion] (M26.-)
  • syphilitic saddle nose (A50.5)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Congenital depressions in skull
  • Congenital hemifacial atrophy or hypertrophy
  • Deviation of nasal septum, congenital
  • Squashed or bent nose, congenital

Excludes1 inherited from the categories above Q67.4

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 Q67.4

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

  • J34.2Deviated nasal septum
  • Q18Other congenital malformations of face and neck
  • Q30Congenital malformations of nose
  • Q75Other congenital malformations of skull and face bones

Risk adjustment

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

Medicare coverage

Q67.4 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A56587Billing and Coding: Cosmetic and Reconstructive Surgery
  • A56658Billing and Coding: Cosmetic and Reconstructive Surgery
  • A57204Billing and Coding: MRI and CT Scans of the Head and Neck
  • A58573Billing and Coding: Cosmetic and Reconstructive Surgery

Alphabetic index entries that lead here

  • Atrophy, atrophic›hemifacial
  • Depression›skull
  • Flattening›nose(congenital)
  • Friedreich's›facial hemihypertrophy
  • Hypertrophy, hypertrophic›hemifacial
  • Squashed nose›congenital
  • Bent›nose›congenital
  • Deviation›nasal septum›congenital
  • Deviation›septum›congenital
  • Deformity›nose›congenital›bent or squashed

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Q67

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.