Q74.0
Q74.0: Other congenital malformations of upper limb(s), including shoulder girdle
Billable / specific codeICD-10-CMPOA exempt
Q74.0 is a billable, specific ICD-10-CM code for other congenital malformations of upper limb(s), including shoulder girdle. It is valid for submission on a claim.
Check Q74.0 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Accessory carpal bones
- Cleidocranial dysostosis
- Congenital pseudarthrosis of clavicle
- Macrodactylia (fingers)
- Madelung's deformity
- Radioulnar synostosis
- Sprengel's deformity
- Triphalangeal thumb
Other codes that can never be billed with Q74.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- M20Acquired deformities of fingers and toes
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Q74.0 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
Alphabetic index entries that lead here
- Cleidocranial dysostosis
- Craniocleidodysostosis
- Macrodactylia, macrodactylism(fingers) (thumbs)
- Megalodactylia(fingers) (thumbs) (congenital)
- Sprengel's deformity(congenital)
- Triphalangeal thumb
- Accessory›carpal bones
- Accessory›navicular of carpus
- Agenesis›clavicle
- Agenesis›scapula
- Agenesis›shoulder girdle(complete) (partial)
- Anomaly, anomalous›arm
Code history
Unchanged in every release from FY2024 to FY2027.