2027 ICD-10-CM Diagnosis Code Q67.4Other congenital deformities of skull, face and jaw

ICD-10-CM Codes›Q00-Q99›Q65-Q79›Q67

ICD-10-CM Q67.4
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Q67.4 is a billable ICD-10-CM diagnosis code for other congenital deformities of skull, face and jaw. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 564 through 566. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Musculoskeletal congenital conditions.

Code Identity

ICD-10-CM Code
Q67.4
Billable Status
Yes — Valid for Submission
Code Describes
Other congenital deformities of skull, face and jaw
Short Description
Other congenital deformities of skull, face and jaw
Same as the full description in the CMS dataset.
Parent Code
Congenital musculoskeletal deformities of head, face, spine and chest

Code Classification

ChapterQ00-Q99Congenital malformations, deformations and chromosomal abnormalities
SectionQ65-Q79Congenital malformations and deformations of the musculoskeletal system
CategoryQ67Congenital musculoskeletal deformities of head, face, spine and chest
This CodeQ67.4Other congenital deformities of skull, face and jaw

Present on Admission (POA)Billing

Q67.4 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Congenital malformations and deformations of the musculoskeletal system (Q65-Q79).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Asymmetry of maxilla
  • Brachycephalic face
  • 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
  • Progressive hemifacial atrophy

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Q67.4: its own notes plus those printed at Q67 and Chapter 17. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

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

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

On Q67.4 itself
  • dentofacial anomalies [including malocclusion] (M26.-)
  • syphilitic saddle nose (A50.5)
From Q67 Congenital musculoskeletal deformities of head, face, spine and chest applies to 9 codes
  • congenital malformation syndromes classified to Q87.-
  • Potter's syndrome (Q60.6)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 17 (Q00-QA1) Congenital malformations, deformations and chromosomal abnormalities applies to 900 codes
  • inborn errors of metabolism (E70-E88)

Notes

General instructions on how these codes are used.

From Chapter 17 (Q00-QA1) Congenital malformations, deformations and chromosomal abnormalities applies to 900 codes
  • Codes from this chapter are not for use on maternal records

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name Q67.4, its category, or a range that includes it.

Excludes1 5

These codes carry an Excludes1 note naming Q67.4: they are not reported together with it, unless the two conditions are unrelated.

  • J34.2 Deviated nasal septum
    congenital deviated nasal septum (Q67.4)
  • Block M26-M27 Dentofacial anomalies [including malocclusion] and other disorders of jaw
    hemifacial atrophy or hypertrophy (Q67.4)
  • Q30 Congenital malformations of nose
    congenital deviation of nasal septum (Q67.4)
  • Q18 Other congenital malformations of face and neck
    conditions classified to Q67.0-Q67.4 names Q67.0-Q67.4, which includes this code
  • Q75 Other congenital malformations of skull and face bones
    musculoskeletal deformities of head and face (Q67.0-Q67.4) names Q67.0-Q67.4, which includes this code

Index to Diseases and InjuriesGuidance

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MAL008
Musculoskeletal congenital conditions
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Q67.4 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
754.0 Cong skull/face/jaw def
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Q67.4Overview

What is the ICD-10 code for other congenital deformities of skull, face and jaw?

The ICD-10-CM code for other congenital deformities of skull, face and jaw is Q67.4 (sometimes written as Q674). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is Q67.4 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other congenital deformities of skull, face and jaw on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does Q67.4 group to?

When other congenital deformities of skull, face and jaw is the principal diagnosis on an inpatient stay, it groups to MS-DRG 564, 566, 565, with relative weights from 0.7374 to 1.4909 depending on complications. Higher weights mean higher Medicare reimbursement.

Is Q67.4 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for other congenital deformities of skull, face and jaw on inpatient claims. The code appears in the Congenital malformations and deformations of the musculoskeletal system (Q65-Q79) range of the CMS exempt list.

Can Q67.4 be reported with a code from M26?

Not as a rule. The Excludes1 note on Q67.4 lists "dentofacial anomalies [including malocclusion] (M26.-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).