Is Q72.20 a billable ICD-10-CM code?

Yes. Q72.20 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Q72.20 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).

Q72.20

Q72.20 — Congenital absence of both lower leg and foot, unspecified lower limb

Billable / specific codeICD-10-CMPOA exemptunspecified

Q72.20 is a billable, specific ICD-10-CM code for congenital absence of both lower leg and foot, unspecified lower limb. It is valid for submission on a claim.

Risk adjustment

Q72.20 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

Q72.20 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.

A53065Billing and Coding: Outpatient Physical Therapy

Related codes at this level

Codes that share Q72.2. If Q72.20 is not quite right, the correct code is usually one of these.

Questions about Q72.20

Is Q72.20 a billable ICD-10-CM code?: Yes. Q72.20 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Q72.20 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).