Q72.891
Q72.891 — Other reduction defects of right lower limb
Billable / specific codeICD-10-CMPOA exemptright
Q72.891 is a billable, specific ICD-10-CM code for other reduction defects of right lower limb. It is valid for submission on a claim.
Risk adjustment
Q72.891 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
Q72.891 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share Q72.89. If Q72.891 is not quite right, the correct code is usually one of these.
Questions about Q72.891
- Is Q72.891 a billable ICD-10-CM code?
- Yes. Q72.891 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Q72.891 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).