ICD-10-CM Code Q67.4

Other congenital deformities of skull, face and jaw

Version 2020 Billable Code POA Exempt

Valid for Submission

Q67.4 is a billable code used to specify a medical diagnosis of other congenital deformities of skull, face and jaw. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Q67.4 might also be used to specify conditions or terms like asymmetry of maxilla, asymmetry of maxilla, brachycephalic face, congenital abnormal fusion of nasal bone, congenital abnormal fusion of premaxilla, congenital abnormal fusion of vomer, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:Q67.4
Short Description:Other congenital deformities of skull, face and jaw
Long Description:Other congenital deformities of skull, face and jaw

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Q67.4:

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 depressions in skull
  • Congenital hemifacial atrophy or hypertrophy
  • Deviation of nasal septum, congenital
  • Squashed or bent nose, congenital

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • dentofacial anomalies including malocclusion M26
  • syphilitic saddle nose A50.5

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Q67.4 are found in the index:


Synonyms

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

  • Asymmetry of maxilla
  • Asymmetry of maxilla
  • Brachycephalic face
  • Congenital abnormal fusion of nasal bone
  • Congenital abnormal fusion of premaxilla
  • Congenital abnormal fusion of vomer
  • Congenital anomaly of premaxilla
  • Congenital anomaly of vomer
  • Congenital bent nose
  • Congenital depression in skull
  • Congenital deviation of nasal septum
  • Deviated nasal septum
  • Facial hemiatrophy
  • Maxillary asymmetry due to hemifacial atrophy
  • Maxillary asymmetry due to hemifacial hypertrophy
  • Nasal deviation
  • Nasal deviation
  • Orbital deformity associated with craniofacial deformity
  • Progressive hemifacial atrophy
  • Vomero-premaxillary faciosynostosis

Diagnostic Related Groups

The ICD-10 code Q67.4 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 564 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
  • 565 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
  • 566 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC

Present on Admission (POA)

Q67.4 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 CodePOA Reason 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 Q67.4 to ICD-9

  • 754.0 - Cong skull/face/jaw def (Approximate Flag)

Code Classification

  • Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • Congenital malformations and deformations of the musculoskeletal system (Q65-Q79)
      • Congenital ms deformities of head, face, spine and chest (Q67)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Craniofacial Abnormalities

Craniofacial is a medical term that relates to the bones of the skull and face. Craniofacial abnormalities are birth defects of the face or head. Some, like cleft lip and palate, are among the most common of all birth defects. Others are very rare. Most of them affect how a person's face or head looks. These conditions may also affect other parts of the body.

Treatment depends on the type of problem. Plastic and reconstructive surgery may help the person's appearance.


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