Q74.2
Q74.2: Other congenital malformations of lower limb(s), including pelvic girdle
Billable / specific codeICD-10-CMPOA exempt
Q74.2 is a billable, specific ICD-10-CM code for other congenital malformations of lower limb(s), including pelvic girdle. It is valid for submission on a claim.
Check Q74.2 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- anteversion of femur (neck) (Q65.89)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Congenital fusion of sacroiliac joint
- Congenital malformation of ankle joint
- Congenital malformation of sacroiliac joint
Other codes that can never be billed with Q74.2
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
Q74.2 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A57596Billing and Coding: Percutaneous minimally invasive fusion/stabilization of the sacroiliac joint for the treatment of back pain
Alphabetic index entries that lead here
- Android pelvis
- Anthropoid pelvis
- Male type pelvis
- Pithecoid pelvis
- Robert's pelvis
- Sympus
- Accessory›tarsal bones
- Agenesis›pelvic girdle(complete) (partial)
- Anomaly, anomalous›ankle(joint)
- Anomaly, anomalous›femur NEC
- Anomaly, anomalous›fibula NEC
- Anomaly, anomalous›foot NEC
Code history
Unchanged in every release from FY2024 to FY2027.