2025 ICD-10-CM code Q67.4
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Congenital malformations - Congenital musculoskeletal deformities of head, face, spine and chest Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) Feed
Other congenital deformities of the skull, face, and jaw.
Medical necessity is established through clinical findings and the significant impact of the congenital deformities on the patient's overall health and well-being.Severe cases may require surgical intervention or other specialized treatment to correct anatomical abnormalities, improve functionality, and address associated issues such as respiratory compromise or feeding difficulties.Less significant deformities may still be coded to document the diagnosis and allow for appropriate monitoring.
Diagnosis and management of congenital craniofacial deformities. This would involve a thorough examination, possibly imaging studies (X-rays, CT scans), and potentially referral to specialists like craniofacial surgeons or geneticists depending on the complexity and associated findings.Genetic testing may be considered depending on the suspected etiology.
- Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- Q67 Congenital musculoskeletal deformities of head, face, spine and chest
In simple words: This code is for babies born with various shape problems in their skull, face, or jaw that aren't described by other, more specific codes.This could include things like a flat spot on the head, an uneven face, or a bent nose.
This ICD-10-CM code encompasses a range of congenital (present from birth) deformities affecting the skull, face, and jaw that do not fit into more specific categories within the Q67 code range.Examples include congenital depressions in the skull, congenital hemifacial atrophy or hypertrophy, congenital deviation of the nasal septum, and other unspecified deformities of this anatomical region.It excludes dentofacial anomalies (including malocclusion), syphilitic saddle nose, and congenital malformation syndromes classified elsewhere.
Example 1: A newborn is diagnosed with a significant asymmetry of the face, presenting with one side of the face smaller than the other.This is classified under Q67.4 due to the lack of a more specific code to define the precise nature of the asymmetry. Further investigation into underlying causes (genetic or other) may be warranted., An infant is born with a flattened area on the back of the skull (positional plagiocephaly).However, the features do not meet the criteria for specific codes like Q67.3. Because it is considered a less significant deformation, Q67.4 would apply., A child presents with a markedly deviated nasal septum that is clearly congenital.There is no evidence of trauma, and the deviation is significant enough to warrant coding. The absence of a more specific code for congenital nasal septal deviation leads to coding with Q67.4.
Detailed prenatal history, including maternal health and potential exposures.Complete physical examination documentation including detailed description of the craniofacial features.Imaging reports (if obtained) including radiographs and/or CT scans.Genetic testing results (if performed).
** This code is commonly used in conjunction with other codes to fully capture the patient's condition.It is essential to review all available information to ensure accurate coding.This code is not for use on maternal records.
- Payment Status: Active
- Specialties:Neonatology, Pediatric Surgery, Craniofacial Surgery, Genetics, Plastic Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office