Q72.03
Q72.03 — Congenital complete absence of lower limb, bilateral
Billable / specific codeICD-10-CMPOA exemptbilateral
Q72.03 is a billable, specific ICD-10-CM code for congenital complete absence of lower limb, bilateral. It is valid for submission on a claim.
Risk adjustment
Q72.03 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
Q72.03 is named in 3 Medicare coverage policies — 3 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
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share Q72.0. If Q72.03 is not quite right, the correct code is usually one of these.
Questions about Q72.03
- Is Q72.03 a billable ICD-10-CM code?
- Yes. Q72.03 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Q72.03 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).