ICD-10-CM Code Q68.1

Congenital deformity of finger(s) and hand

Version 2020 Billable Code POA Exempt

Valid for Submission

Q68.1 is a billable code used to specify a medical diagnosis of congenital deformity of finger(s) and hand. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Q68.1 might also be used to specify conditions or terms like arachnodactyly, bilateral brachydactyly of finger of hands, bilateral congenital clinodactyly, bilateral congenital deformity fingers, bilateral congenital deformity of hands, brachydactyly, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

Short Description:Congenital deformity of finger(s) and hand
Long Description:Congenital deformity of finger(s) and hand

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 Q68.1:

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 clubfinger
  • Spade-like hand (congenital)

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 Q68.1 are found in the index:


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

  • Arachnodactyly
  • Bilateral brachydactyly of finger of hands
  • Bilateral congenital clinodactyly
  • Bilateral congenital deformity fingers
  • Bilateral congenital deformity of hands
  • Brachydactyly
  • Brachydactyly of finger of left hand
  • Brachydactyly of finger of right hand
  • Brachydactyly of hand
  • Brachydactyly of hand
  • Brachydactyly of hand
  • Brachydactyly syndrome type C
  • Brachydactyly syndrome type E
  • Brachydactyly type A5
  • Brachydactyly type B2
  • Broad thumbs
  • Broad thumbs
  • Broad thumbs
  • Camptodactyly of bilateral hands
  • Camptodactyly of left hand
  • Camptodactyly of right hand
  • Camptodactyly syndrome Guadalajara type 1
  • Camptodactyly syndrome Guadalajara type 2
  • 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 anomaly of the hand
  • Congenital clinodactyly
  • Congenital club finger
  • Congenital clubnail
  • Congenital deformity of left finger
  • Congenital deformity of left hand
  • Congenital deformity of right finger
  • Congenital deformity of right hand
  • Congenital maxillary hypoplasia
  • Congenital radial deviation of finger
  • Congenital spade-like hand
  • Constricting band of extremity
  • Constriction ring syndrome
  • Constriction ring syndrome of upper limb
  • Deformity of digit of hand due to amniotic band
  • Digital extensor muscle aplasia with polyneuropathy
  • Familial isolated clinodactyly of finger
  • Finger clubbing
  • Finger joint locking
  • Form of thumb - finding
  • Form of thumb - finding
  • Form of thumb - finding
  • Heart-hand syndrome Slovenian type
  • Heart-hand syndrome type 2
  • Heart-hand syndrome type 3
  • Hyperphalangy
  • Hypoplasia of maxillary bone
  • Hypoplasia of thumb
  • Infantile spasm
  • Infantile spasm and broad thumb syndrome
  • Intellectual disability, facial dysmorphism, hand anomalies syndrome
  • Left congenital clinodactyly
  • Lissencephaly type 3 metacarpal bone dysplasia syndrome
  • Lung agenesis with heart defect and thumb anomaly syndrome
  • Manus cava
  • Manus extensa
  • Manus flexa
  • Manus valga
  • Manus vara
  • Metaphyseal dysplasia, maxillary hypoplasia, brachydactyly syndrome
  • O/E - hands - arachnodactyly
  • Patent ductus arteriosus, bicuspid aortic valve, hand anomaly syndrome
  • Polydactyly of thumb
  • Reardon Hall Slaney syndrome
  • Right congenital clinodactyly
  • Severe intellectual disability, poor language, strabismus, grimacing face, long fingers syndrome
  • Short stature locking fingers syndrome
  • Spade-like hand
  • Spondyloepiphyseal dysplasia Cantu type
  • Symbrachydactyly
  • Symbrachydactyly of digit of hand
  • Symphalangism
  • Talipomanus
  • Tarsal-carpal coalition 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
  • Trigonocephaly
  • Trigonocephaly with broad thumb syndrome
  • Triphalangeal thumb
  • Triphalangeal thumb with brachyectrodactyly syndrome
  • Urban Rogers Meyer syndrome

Diagnostic Related Groups

The ICD-10 code Q68.1 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.


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 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 Q68.1 to ICD-9

  • 754.89 - Nonteratogenic anom NEC (Approximate Flag)

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)

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

Birth Defects

A birth defect is a problem that happens while a baby is developing in the mother's body. Most birth defects happen during the first 3 months of pregnancy. One out of every 33 babies in the United States is born with a birth defect.

A birth defect may affect how the body looks, works or both. Some birth defects like cleft lip or neural tube defects are structural problems that can be easy to see. To find others, like heart defects, doctors use special tests. Birth defects can range from mild to severe. Causes can include

  • Genetics
  • Exposures to medicines or chemicals. For example, alcohol abuse can cause fetal alcohol syndrome.
  • Infections during pregnancy
  • Certain medicines. Before you get pregnant, talk to your health care provider about any medicines you take.
  • Not getting enough of certain nutrients. For example, not getting enough folic acid before and during pregnancy is a key factor in causing neural tube defects.

For most birth defects, the cause is unknown.

Health care providers can diagnose certain birth defects during pregnancy, with prenatal tests. That's why it important to get regular prenatal care. Other birth defects may not be found until after the baby is born. Sometimes the defect is obvious right away. Other times, the health care provider may not discover it until later in life.

Babies with birth defects often need special care and treatments. The treatments may include surgery, medicines, assistive devices, and therapies.

Centers for Disease Control and Prevention

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