2025 ICD-10-CM code Q74
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Congenital malformations, deformations and chromosomal abnormalities - Other congenital malformations of limb(s) Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) Feed
Other congenital malformations of the limbs.
Modifiers may be applicable depending on the specific circumstances of service delivery. Refer to the official modifier guidelines and payer specific requirements.
Medical necessity is established through the presence of a clinically significant congenital limb malformation requiring medical intervention or ongoing monitoring. The documentation must clearly demonstrate the malformation's impact on the patient's function or health.
The clinical responsibility for coding Q74 rests with the physician or healthcare provider who diagnoses and documents the congenital limb malformation. Accurate documentation is critical for proper code assignment.
- Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- Q65-Q79 (Congenital malformations and deformations of the musculoskeletal system)
In simple words: This code describes birth defects affecting the arms or legs that aren't listed as specific types of defects. It covers a wide range of problems with the bones, joints, muscles, or other tissues in the arms and legs that were present at birth.
This ICD-10-CM code classifies congenital malformations of the limbs not otherwise specified.It includes a broad range of anomalies affecting the upper or lower extremities, excluding specifically defined conditions like polydactyly, reduction defects, and syndactyly.The code is used to report any structural abnormality present at birth affecting the bones, joints, muscles, or soft tissues of the arms and legs.
Example 1: A newborn presents with an underdeveloped left forearm, lacking the radius bone.Q74 would be the appropriate code., A child is diagnosed with a complex birth defect involving multiple finger fusions and abnormal shaping of the wrist bones. Q74 accurately reflects this condition., An infant displays a rare bone malformation in the right leg, which is clinically diagnosed as being consistent with Q74 criteria.
Detailed clinical documentation specifying the affected limb(s), the nature of the malformation (e.g., absent bone, abnormal joint, soft tissue anomaly), and any associated findings is crucial. Imaging reports (X-rays, ultrasounds) are essential for accurate coding.
** This code should be used when a more specific congenital limb malformation code is unavailable. It is essential to provide as much detailed description as possible to ensure accurate reimbursement.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Orthopedics, Genetics, Pediatrics, Neonatology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office