Is Q72.00 a billable ICD-10-CM code?

Yes. Q72.00 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Q72.00 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).

Q72.00

Q72.00 — Congenital complete absence of unspecified lower limb

Billable / specific codeICD-10-CMPOA exemptunspecified

Q72.00 is a billable, specific ICD-10-CM code for congenital complete absence of unspecified lower limb. It is valid for submission on a claim.

Risk adjustment

Q72.00 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

Q72.00 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52481Orthopedic Footwear - Policy Article

Related codes at this level

Codes that share Q72.0. If Q72.00 is not quite right, the correct code is usually one of these.

Questions about Q72.00

Is Q72.00 a billable ICD-10-CM code?: Yes. Q72.00 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Q72.00 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).