Q74.0 — Other congenital malformations of upper limb(s), including shoulder girdle
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.
Inclusion 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
Risk adjustment
Q74.0 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
Q74.0 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.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
How Q74.0 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Q74.0.
- 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
Related codes at this level
Codes that share Q74. If Q74.0 is not quite right, the correct code is usually one of these.
Questions about Q74.0
- Is Q74.0 a billable ICD-10-CM code?
- Yes. Q74.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Q74.0 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).