2024 ICD-10-CM Diagnosis Code Q74.9

Unspecified congenital malformation of limb(s)

ICD-10-CM Code:
Q74.9
ICD-10 Code for:
Unspecified congenital malformation of limb(s)
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

Code Classification

  • Congenital malformations, deformations and chromosomal abnormalities
    (Q00-Q99)
    • Congenital malformations and deformations of the musculoskeletal system
      (Q65-Q79)
      • Other congenital malformations of limb (Q74)
        (s)

Q74.9 is a billable diagnosis code used to specify a medical diagnosis of unspecified congenital malformation of limb(s). 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.

Unspecified diagnosis codes like Q74.9 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Approximate Synonyms

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

  • Acrofacial dysostosis Catania type
  • Acrorenal mandibular syndrome
  • Akinesia
  • Arachnodactyly
  • Autosomal recessive facio-digito-genital syndrome
  • B-cell immunodeficiency, limb anomaly, urogenital malformation syndrome
  • Bifid nose
  • Brachymesophalangia
  • Brachytelephalangy, facial dysmorphism, Kallmann syndrome
  • Cardio-acral-facial syndrome
  • Charlie M syndrome
  • Congenital abnormal shape of frontal bone
  • Congenital agammaglobulinemia
  • Congenital anomaly of digit
  • Congenital anomaly of joint
  • Congenital anomaly of limb
  • Congenital cleft nose
  • Congenital diaphragmatic hernia
  • Congenital dysplasia of limb
  • Congenital hypotrichia
  • Congenital splenomegaly
  • Craniofacial deafness hand syndrome
  • DONSON-related microcephaly, short stature, limb abnormalities spectrum
  • Early-onset seizures, distal limb anomalies, facial dysmorphism, global developmental delay syndrome
  • Emery Nelson syndrome
  • Feingold syndrome
  • Fryns syndrome
  • Harrod syndrome
  • Hypertelorism
  • Ichthyosis, oral and digital anomalies syndrome
  • Linear hypopigmentation and craniofacial asymmetry with acral, ocular and brain anomalies
  • Macrocytosis - no anemia
  • Mammary digital nail syndrome
  • Microphthalmia with brain and digit anomaly
  • Microphthalmos due to Fryns syndrome
  • Mullerian duct and limb anomalies syndrome
  • Multiple pterygium syndrome
  • Nephrosis, deafness, urinary tract, digital malformation syndrome
  • Neurofaciodigitorenal syndrome
  • Non-anemic red cell disorder
  • Oral-facial-digital syndrome with short stature and brachymesophalangia
  • Oro-facial digital syndrome type 10
  • Oro-facial digital syndrome type 11
  • Oro-facial digital syndrome type 14
  • Oro-facial digital syndrome type 5
  • Oro-facial digital syndrome type 9
  • Oromandibular-limb hypogenesis spectrum
  • Oromandibular-limb hypogenesis spectrum
  • Osteosarcoma, limb anomalies, erythroid macrocytosis syndrome
  • Pierre Robin sequence faciodigital anomaly syndrome
  • Platelet count above reference range
  • Robin sequence
  • Splenogonadal fusion
  • Splenogonadal fusion, limb defect, micrognathia syndrome
  • Thrombocythemia with distal limb defect
  • Thrombocytosis
  • TRAF7-associated heart defect, digital anomalies, facial dysmorphism, motor and speech delay syndrome
  • Trigonocephaly
  • Trigonocephaly with bifid nose and acral anomaly syndrome
  • Ulbright Hodes syndrome
  • VACTEL syndrome
  • VACTERL syndrome with hydrocephalus
  • Verloove Vanhorick Brubakk syndrome
  • Vertebral abnormalities, anal atresia, cardiac abnormalities, tracheo-esophageal fistula, renal anomalies, limb defects syndrome

Clinical Classification

Clinical Information

  • Hypertelorism

    abnormal increase in the interorbital distance due to overdevelopment of the lesser wings of the sphenoid.
  • Arachnodactyly

    an abnormal bone development that is characterized by extra long and slender hands and fingers, such that the clenched thumb extends beyond the ulnar side of the hand. arachnodactyly can include feet and toes. arachnodactyly has been associated with several gene mutations and syndromes.
  • Thrombocythemia, Essential

    a clinical syndrome characterized by repeated spontaneous hemorrhages and a remarkable increase in the number of circulating platelets.
  • Thrombocytosis

    increased numbers of platelets in the peripheral blood. (dorland, 27th ed)
  • Congenital Diaphragmatic Hernia

    diaphragmatic hernia that is present at birth.
  • Akinesia

    lack of movement.
  • Fetal Akinesia Deformation Sequence|FADS|Pena-Shokeir syndrome, Type 1

    a condition characterized by fetal akinesia and intrauterine growth restriction, that may be associated with mutation(s) in the rapsn or dok7 genes, encoding 43 kda receptor-associated protein of the synapse and protein dok-7, respectively.
  • Feingold Syndrome

    a rare autosomal dominant syndrome caused by mutations in the mycn oncogene. it is characterized by microcephaly, limb abnormalities, esophageal and/or duodenal atresia.
  • Fryns Syndrome

    a rare syndrome inherited in an autosomal recessive pattern. it is characterized by the presence of diaphragmatic defects, distinctive facial features (hypertelorism, low-set ears, flat nasal bridge, and micrognathia), distal digital hypoplasia, lung hypoplasia, and brain, gastrointestinal, and cardiovascular malformations.

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

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Congenital anomaly of limb(s) NOS

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).

Present on Admission (POA)

Q74.9 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 IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert Q74.9 to ICD-9-CM

  • ICD-9-CM Code: 755.50 - Upper limb anomaly NOS
    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.
  • ICD-9-CM Code: 755.9 - Congen limb anomaly NOS
    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.