2026 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 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

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 2026 (October 1, 2025 through September 30, 2026) 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
Q67
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 other POA exempt codes.

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
  • Orbital deformity associated with craniofacial deformity
  • Progressive hemifacial atrophy

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

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

Type 1 Excludes

  • dentofacial anomalies including malocclusion M26
  • syphilitic saddle nose A50.5

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Atrophy, atrophic(of)
      • hemifacial
    • Bent
      • nose
        • congenital
    • Deformity
      • nose (acquired) (cartilage)
        • congenital
          • bent or squashed
    • Depression(acute) (mental)
      • skull
    • Deviation(in)
      • nasal septum
        • congenital
    • Deviation(in)
      • septum (nasal) (acquired)
        • congenital
    • Flattening
      • nose (congenital)
    • Friedreich's
      • facial hemihypertrophy
    • Hypertrophy, hypertrophic
      • hemifacial
    • Squashed nose
      • congenital

Clinical ClassificationClinical

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

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

Clinical InformationClinical

  • Facial Hemiatrophy

    a syndrome characterized by slowly progressive unilateral atrophy of facial subcutaneous fat, muscle tissue, skin, cartilage, and bone. the condition typically progresses over a period of 2-10 years and then stabilizes.

  • Facial Hemiatrophy

    progressive atrophy of the tissues that comprise half of the face.

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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Q67.4Overview

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, 2025 through September 30, 2026.

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, 565, 566, with relative weights from 0.7493 to 1.5436 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.

What is the ICD-9 equivalent of Q67.4?

Under the General Equivalence Mappings, other congenital deformities of skull, face and jaw converts to ICD-9-CM 754.0 (cong skull/face/jaw def). The mapping is approximate, so confirm the match fits the documentation.

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.