Version 2024

2024 ICD-10-CM Diagnosis Code Q68.1

Congenital deformity of finger(s) and hand

ICD-10-CM Code:: Q68.1
ICD-10 Code for:: Congenital deformity of finger(s) and hand
Is Billable?: Yes - Valid for Submission
Chronic Condition Indicator: ^[1]: Chronic
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Code Information
Approximate Synonyms
Clinical Classification
Clinical Information
Tabular List of Diseases and Injuries
Index to Diseases and Injuries References
Diagnostic Related Groups Mapping
Present on Admission (POA)
Convert to ICD-9 Code
Patient Education
Other Codes Used Similar Conditions
Code History

Code Classification

Congenital malformations, deformations and chromosomal abnormalities
(Q00-Q99)
- Congenital malformations and deformations of the musculoskeletal system
  (Q65-Q79)
  - Other congenital musculoskeletal deformities
    (Q68)

Q68.1 is a billable diagnosis code used to specify a medical diagnosis of congenital deformity of finger(s) and hand. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Aminoaciduria
Aplasia of muscle
Bilateral brachydactyly of finger of hands
Bilateral brachydactyly of finger of hands
Bilateral brachydactyly of toes
Bilateral congenital clinodactyly
Bilateral congenital clinodactyly of fingers
Bilateral congenital deformity fingers
Bilateral congenital deformity of hands
Bilateral congenital deformity of hands
Bilateral congenital deformity of toes
Bilateral congenital deformity of upper limbs
Bilateral congenital deformity of upper limbs
Bilateral congenital deformity of upper limbs
Bilateral congenital deformity of upper limbs
Bilateral congenital deformity of upper limbs
Bilateral congenital deformity of upper limbs
Bilateral congenital deformity of upper limbs
Bilateral congenital radial deviation of fingers
Bilateral congenital upper limb hypertrophy
Bilateral syndactyly of toes
Brachydactyly
Brachydactyly of finger of left hand
Brachydactyly of finger of left hand
Brachydactyly of finger of right hand
Brachydactyly of finger of right hand
Brachydactyly of hand
Brachydactyly of hand
Brachydactyly of hand
Brachydactyly of hand
Brachydactyly of hand
Brachydactyly of toes
Brachydactyly of toes of left foot
Brachydactyly of toes of right foot
Brachydactyly syndrome type C
Brachydactyly syndrome type E
Brachydactyly type A3
Brachydactyly type A5
Brachydactyly type B2
Broad thumbs
Broad thumbs
Broad thumbs
Camptodactyly and tall stature with scoliosis and hearing loss syndrome
Camptodactyly of bilateral fingers
Camptodactyly of bilateral hands
Camptodactyly of finger
Camptodactyly of finger
Camptodactyly of left hand
Camptodactyly of right hand
Camptodactyly syndrome Guadalajara type 1
Camptodactyly syndrome Guadalajara type 2
Camptodactyly syndrome Guadalajara type 3
Camptodactyly taurinuria syndrome
Camptodactyly with fibrous tissue hyperplasia and skeletal dysplasia syndrome
Clinodactyly with delta phalanx
Clinodactyly, with no delta phalanx
Clubbing of nail
Congenital abnormal shape of frontal bone
Congenital absence of metacarpal bone
Congenital absence of metacarpal bone
Congenital anomaly of finger
Congenital anomaly of hand
Congenital anomaly of ossicles of ear
Congenital aplasia of lung
Congenital clinodactyly
Congenital clinodactyly
Congenital clinodactyly
Congenital clinodactyly of finger
Congenital clinodactyly of finger
Congenital clinodactyly of finger
Congenital clinodactyly of little finger
Congenital clinodactyly of little finger
Congenital clinodactyly of little finger
Congenital club finger
Congenital clubnail
Congenital deformity of hand
Congenital deformity of left finger
Congenital deformity of left hand
Congenital deformity of left hand
Congenital deformity of right finger
Congenital deformity of right hand
Congenital deformity of right hand
Congenital hypoplasia of cerebrum
Congenital hypoplasia of finger
Congenital malposition of digit
Congenital maxillary hypoplasia
Congenital radial deviation of finger
Congenital spade-like hand
Congenital trigger finger and trigger thumb
Congenital trigger finger of left hand
Congenital trigger finger of right hand
Congenital trigger thumb
Constricting band of extremity
Constriction ring syndrome
Constriction ring syndrome of upper limb
Deformity of digit of hand due to amniotic band
Delta phalanx of finger
Digital extensor muscle aplasia with polyneuropathy
Epileptic spasms
Extensor tendons of finger anomalies
Familial isolated clinodactyly of finger
Finger clubbing
Finger joint locking
Hand-foot-genital syndrome
Heart-hand syndrome Slovenian type
Heart-hand syndrome type 2
Heart-hand syndrome type 3
Hereditary camptodactyly
Hyperphalangy
Hypoplasia of corpus callosum
Hypoplasia of maxillary bone
Hypoplasia of thumb
Infantile spasm and broad thumb syndrome
Inherited aminoaciduria
Intellectual disability, facial dysmorphism, hand anomalies syndrome
L1 syndrome
Left congenital clinodactyly
Lissencephaly type 3 metacarpal bone dysplasia syndrome
Lung agenesis with heart defect and thumb anomaly syndrome
Macrodactylia of fingers
Macrodactylia of fingers
Macrodactyly of bilateral hands
Macrodactyly of fingers - simple
Macrodactyly of fingers- fatty nerve tumor
Macrodactyly of hand
Macrodactyly of hand
Macrodactyly of hand
Macrodactyly of hand
Macrodactyly of hand
Macrodactyly of left finger
Macrodactyly of right finger
Manus cava
Manus valga
Manus vara
MASA syndrome
Metaphyseal dysplasia, maxillary hypoplasia, brachydactyly syndrome
Non syndromic camptodactyly of fingers
Palmoplantar keratoderma with clinodactyly syndrome
Patent ductus arteriosus, bicuspid aortic valve, hand anomaly syndrome
Reardon Hall Slaney syndrome
Right congenital clinodactyly
Severe intellectual disability, poor language, strabismus, grimacing face, long fingers syndrome
Short stature locking fingers syndrome
Short stature, brachydactyly, obesity, global developmental delay syndrome
Spade-like hand
Spondyloepiphyseal dysplasia Cantu type
Stapes ankylosis with broad thumb and toe syndrome
Sugarman brachydactyly
Symbrachydactyly
Symbrachydactyly
Symbrachydactyly of bilateral hands and feet
Symbrachydactyly of digit of hand
Symbrachydactyly of digit of hand
Symbrachydactyly of toe
Symphalangism
Syndactyly, camptodactyly and clinodactyly of fifth fingers, bifid toes syndrome
Talipomanus
Tarsal-carpal coalition syndrome
Tel Hashomer camptodactyly syndrome
Thumb deformity, alopecia, pigmentation anomaly syndrome
Thumb in palm deformity
Transverse arrest carpal level
Transverse arrest metacarpal first ray
Transverse arrest metacarpal second to fifth rays
Transverse deficiency of hand
Transverse deficiency of upper limb
Transverse deficiency of upper limb
Transverse deficiency of upper limb
Transverse deficiency of upper limb
Trigonocephaly
Trigonocephaly with broad thumb syndrome
Triphalangeal thumb
Triphalangeal thumb with brachyectrodactyly syndrome
Urban Rogers Meyer syndrome

Clinical Classification

Clinical Category is Musculoskeletal congenital conditions
CCSR Category Code: MAL008
Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

Brachydactyly
congenital anomaly of abnormally short fingers or toes.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.

Inclusion Terms

Congenital clubfinger
Spade-like hand (congenital)

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

- Clawhand (acquired) - See Also: Deformity, limb, clawhand;
- - congenital - Q68.1

- Clubfinger - R68.3
- - congenital - Q68.1

- Contraction (s), contracture, contracted
- - finger NEC - See Also: Deformity, finger;
  - - congenital - Q68.1

- Deformity - Q89.9
- - finger (acquired) - M20.00
  - - congenital - Q68.1
- - hand (acquired) - See: Deformity, limb, hand;
  - - congenital - Q68.1
- - limb (acquired) - M21.90
  - - clawhand - M21.51
    - - congenital - Q68.1
- - thumb (acquired) - See Also: Deformity, finger;
  - - congenital NEC - Q68.1

- Distortion (s) (congenital)
- - finger (s) - Q68.1
- - hand bone (s) - Q68.1

- Main en griffe (acquired) - See Also: Deformity, limb, clawhand;
- - congenital - Q68.1

- Malposition
- - congenital
  - - finger (s) - Q68.1
  - - hand - Q68.1

- Overriding
- - finger (acquired) - See: Deformity, finger;
  - - congenital - Q68.1

- Spade-like hand (congenital) - Q68.1

Q68.1 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
564	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC	08	1.5619
565	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC	08	0.9994
566	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC	08	0.7505

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Present on Admission (POA)

Q68.1 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA Indicator	Reason for Code	CMS will pay the CC/MCC DRG?
Y	Diagnosis was present at time of inpatient admission.	YES
N	Diagnosis was not present at time of inpatient admission.	NO
U	Documentation insufficient to determine if the condition was present at the time of inpatient admission.	NO
W	Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.	YES
1	Unreported/Not used - Exempt from POA reporting.	NO

Convert Q68.1 to ICD-9-CM

ICD-9-CM Code: 754.89 - Nonteratogenic anom NEC
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Code History

FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
The condition places limitations on self-care, independent living, and social interactions.