2027 ICD-10-CM Diagnosis Code Q68.1Congenital deformity of finger(s) and hand

ICD-10-CM Codes›Q00-Q99›Q65-Q79›Q68

ICD-10-CM Q68.1
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Q68.1 is a billable ICD-10-CM diagnosis code for congenital deformity of finger(s) and hand. 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. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 5 closely related codes. 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
Q68.1
Billable Status
Yes — Valid for Submission
Code Describes
Congenital deformity of finger(s) and hand
Short Description
Congenital deformity of finger(s) and hand
Same as the full description in the CMS dataset.
Parent Code
Q68
Other congenital musculoskeletal deformities

Code Classification

ChapterQ00-Q99Congenital malformations, deformations and chromosomal abnormalities
SectionQ65-Q79Congenital malformations and deformations of the musculoskeletal system
CategoryQ68Other congenital musculoskeletal deformities
This CodeQ68.1Congenital deformity of finger(s) and hand

Present on Admission (POA)Billing

Q68.1 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.

  • Abnormal curvature of distal phalanx of hand
  • Abnormal curvature of distal phalanx of little finger
  • Abnormal curvature of phalanx of little finger
  • Abnormal tapering of distal phalanx of finger
  • Abnormal tapering of metacarpal
  • Abnormal tapering of phalanx of finger
  • Abnormal tapering of proximal metacarpal
  • Abnormally short distal phalanx of finger
  • Abnormally short distal phalanx of little finger
  • Abnormally short distal phalanx of middle finger
  • Abnormally short distal phalanx of ring finger
  • Abnormally short distal phalanx of thumb
  • Abnormally short fifth metacarpal
  • Abnormally short first metacarpal
  • Abnormally short fourth metacarpal
  • Abnormally short index finger
  • Abnormally short little finger
  • Abnormally short middle finger
  • Abnormally short phalanx of finger
  • Abnormally short phalanx of thumb
  • Abnormally short proximal phalanx of finger
  • Abnormally short proximal phalanx of index finger
  • Abnormally short proximal phalanx of little finger
  • Abnormally short proximal phalanx of middle finger
  • Abnormally short proximal phalanx of ring finger
  • Abnormally short ring finger
  • Abnormally short second metacarpal
  • Abnormally short third metacarpal
  • Ankylosis of distal interphalangeal joint
  • Ankylosis of joint of index finger
  • Ankylosis of joint of little finger
  • Ankylosis of joint of middle finger
  • Ankylosis of joint of ring finger
  • Ankylosis of joint of thumb
  • Ankylosis of metacarpophalangeal joint
  • Ankylosis of proximal interphalangeal joint
  • Bilateral brachydactyly of finger of hands
  • Bilateral brachydactyly of toes
  • Bilateral congenital clinodactyly
  • Bilateral congenital clinodactyly of fingers
  • Bilateral congenital deformity fingers
  • Bilateral congenital deformity of hands
  • Bilateral congenital radial deviation of fingers
  • Bilateral congenital upper limb hypertrophy
  • Bilateral syndactyly of toes
  • Brachydactyly
  • Brachydactyly of finger of left hand
  • Brachydactyly of finger of right hand
  • Brachydactyly of toes
  • Brachydactyly of toes of left foot
  • Brachydactyly of toes of right foot
  • Brachydactyly syndrome type C
  • Brachydactyly syndrome type E
  • Brachydactyly type A3
  • Brachydactyly type A5
  • Brachydactyly type B2
  • Broad thumbs
  • Camptodactyly and tall stature with scoliosis and hearing loss syndrome
  • Camptodactyly of bilateral fingers
  • Camptodactyly of bilateral hands
  • Camptodactyly of finger
  • Camptodactyly of left hand
  • Camptodactyly of right hand
  • Camptodactyly syndrome Guadalajara type 1
  • Camptodactyly syndrome Guadalajara type 2
  • Camptodactyly syndrome Guadalajara type 3
  • Camptodactyly taurinuria syndrome
  • Camptodactyly with fibrous tissue hyperplasia and skeletal dysplasia syndrome
  • Clinodactyly with delta phalanx
  • Clinodactyly, with no delta phalanx
  • Clubbing of nail
  • Congenital abnormal broad shape of distal phalanx of finger
  • Congenital abnormal broad shape of distal phalanx of index finger
  • Congenital abnormal broad shape of distal phalanx of little finger
  • Congenital abnormal broad shape of distal phalanx of middle finger
  • Congenital abnormal broad shape of distal phalanx of ring finger
  • Congenital abnormal broad shape of distal phalanx of thumb
  • Congenital abnormal broad shape of middle phalanx of finger
  • Congenital abnormal broad shape of middle phalanx of index finger
  • Congenital abnormal broad shape of middle phalanx of little finger
  • Congenital abnormal broad shape of middle phalanx of middle finger
  • Congenital abnormal broad shape of middle phalanx of ring finger
  • Congenital abnormal broad shape of phalanx of hand
  • Congenital abnormal broad shape of phalanx of index finger
  • Congenital abnormal broad shape of phalanx of little finger
  • Congenital abnormal broad shape of phalanx of middle finger
  • Congenital abnormal broad shape of phalanx of ring finger
  • Congenital abnormal broad shape of proximal phalanx of finger
  • Congenital abnormal broad shape of proximal phalanx of index finger
  • Congenital abnormal broad shape of proximal phalanx of middle finger
  • Congenital abnormal broad shape of proximal phalanx of ring finger
  • Congenital abnormal broad shape of proximal phalanx of thumb
  • Congenital abnormal broad shape proximal phalanx of little finger
  • Congenital abnormal bullet shape of distal phalanx of hand
  • Congenital abnormal bullet shape of distal phalanx of index finger
  • Congenital abnormal bullet shape of distal phalanx of little finger
  • Congenital abnormal bullet shape of distal phalanx of middle finger
  • Congenital abnormal bullet shape of distal phalanx of ring finger
  • Congenital abnormal bullet shape of distal phalanx of thumb
  • Congenital abnormal bullet shape of middle phalanx of finger
  • Congenital abnormal bullet shape of middle phalanx of index finger
  • Congenital abnormal bullet shape of middle phalanx of little finger
  • Congenital abnormal bullet shape of middle phalanx of middle finger
  • Congenital abnormal bullet shape of middle phalanx of ring finger
  • Congenital abnormal bullet shape of phalanx of hand
  • Congenital abnormal bullet shape of phalanx of index finger
  • Congenital abnormal bullet shape of phalanx of little finger
  • Congenital abnormal bullet shape of phalanx of middle finger
  • Congenital abnormal bullet shape of phalanx of ring finger
  • Congenital abnormal bullet shape of phalanx of thumb
  • Congenital abnormal bullet shape of proximal phalanx of finger
  • Congenital abnormal bullet shape of proximal phalanx of index finger
  • Congenital abnormal bullet shape of proximal phalanx of little finger
  • Congenital abnormal bullet shape of proximal phalanx of middle finger
  • Congenital abnormal bullet shape of proximal phalanx of ring finger
  • Congenital abnormal bullet shape of proximal phalanx of thumb
  • Congenital abnormal cone shape of epiphysis of distal phalanx of hand
  • Congenital abnormal cone shape of epiphysis of metacarpal bone
  • Congenital abnormal cone shape of epiphysis of middle phalanx of finger
  • Congenital abnormal cone shape of epiphysis of phalanx of finger
  • Congenital abnormal cone shape of epiphysis of phalanx of hand
  • Congenital abnormal cone shape of epiphysis of phalanx of index finger
  • Congenital abnormal cone shape of epiphysis of phalanx of little finger
  • Congenital abnormal cone shape of epiphysis of phalanx of middle finger
  • Congenital abnormal cone shape of epiphysis of phalanx of ring finger
  • Congenital abnormal cone shape of epiphysis of proximal phalanx of hand
  • Congenital abnormal fusion of bones of hand
  • Congenital abnormal fusion of carpal and metacarpal bone
  • Congenital abnormal fusion of carpal bone
  • Congenital abnormal fusion of fifth metacarpal bone
  • Congenital abnormal fusion of first metacarpal bone
  • Congenital abnormal fusion of fourth metacarpal bone
  • Congenital abnormal fusion of metacarpal bone
  • Congenital abnormal fusion of phalanx of thumb
  • Congenital abnormal fusion of second metacarpal bone
  • Congenital abnormal fusion of third metacarpal bone
  • Congenital abnormal rhomboid shape of distal phalanx of little finger
  • Congenital abnormal rhomboid shape of middle phalanx of little finger
  • Congenital abnormal rhomboid shape of proximal phalanx of little finger
  • Congenital abnormal shape of frontal bone
  • Congenital abnormal slender shape of distal phalanx of finger
  • Congenital abnormal slender shape of long bone
  • Congenital abnormal slender shape of metacarpal
  • Congenital abnormal slender shape of middle phalanx of finger
  • Congenital abnormal slender shape of proximal phalanx of finger
  • Congenital abnormal triangular shape of distal phalanx of hand
  • Congenital abnormal triangular shape of distal phalanx of index finger
  • Congenital abnormal triangular shape of distal phalanx of little finger
  • Congenital abnormal triangular shape of distal phalanx of middle finger
  • Congenital abnormal triangular shape of distal phalanx of ring finger
  • Congenital abnormal triangular shape of distal phalanx of thumb
  • Congenital abnormal triangular shape of epiphysis of distal phalanx of hand
  • Congenital abnormal triangular shape of epiphysis of metacarpal bone
  • Congenital abnormal triangular shape of epiphysis of middle phalanx of finger
  • Congenital abnormal triangular shape of epiphysis of phalanx of hand
  • Congenital abnormal triangular shape of epiphysis of phalanx of index finger
  • Congenital abnormal triangular shape of epiphysis of phalanx of little finger
  • Congenital abnormal triangular shape of epiphysis of phalanx of middle finger
  • Congenital abnormal triangular shape of epiphysis of phalanx of ring finger
  • Congenital abnormal triangular shape of epiphysis of phalanx of thumb
  • Congenital abnormal triangular shape of epiphysis of proximal phalanx of hand
  • Congenital abnormal triangular shape of middle phalanx of finger
  • Congenital abnormal triangular shape of middle phalanx of index finger
  • Congenital abnormal triangular shape of middle phalanx of little finger
  • Congenital abnormal triangular shape of middle phalanx of middle finger
  • Congenital abnormal triangular shape of middle phalanx of ring finger
  • Congenital abnormal triangular shape of phalanx of hand
  • Congenital abnormal triangular shape of phalanx of index finger
  • Congenital abnormal triangular shape of phalanx of little finger
  • Congenital abnormal triangular shape of phalanx of middle finger
  • Congenital abnormal triangular shape of phalanx of ring finger
  • Congenital abnormal triangular shape of phalanx of thumb
  • Congenital abnormal triangular shape of proximal phalanx of finger
  • Congenital abnormal triangular shape of proximal phalanx of index finger
  • Congenital abnormal triangular shape of proximal phalanx of little finger
  • Congenital abnormal triangular shape of proximal phalanx of middle finger
  • Congenital abnormal triangular shape of proximal phalanx of ring finger
  • Congenital abnormal triangular shape of proximal phalanx of thumb
  • Congenital ankylosis of distal interphalangeal joint of index finger
  • Congenital ankylosis of distal interphalangeal joint of little finger
  • Congenital ankylosis of distal interphalangeal joint of middle finger
  • Congenital ankylosis of distal interphalangeal joint of ring finger
  • Congenital ankylosis of interphalangeal joint of finger
  • Congenital ankylosis of interphalangeal joint of hand
  • Congenital ankylosis of interphalangeal joint of index finger
  • Congenital ankylosis of interphalangeal joint of little finger
  • Congenital ankylosis of interphalangeal joint of middle finger
  • Congenital ankylosis of interphalangeal joint of ring finger
  • Congenital ankylosis of interphalangeal joint of thumb
  • Congenital ankylosis of metacarpophalangeal joint of index finger
  • Congenital ankylosis of metacarpophalangeal joint of little finger
  • Congenital ankylosis of metacarpophalangeal joint of middle finger
  • Congenital ankylosis of metacarpophalangeal joint of ring finger
  • Congenital ankylosis of proximal interphalangeal joint of index finger
  • Congenital ankylosis of proximal interphalangeal joint of little finger
  • Congenital ankylosis of proximal interphalangeal joint of middle finger
  • Congenital ankylosis of proximal interphalangeal joint of ring finger
  • Congenital anomaly of finger
  • Congenital anomaly of hand
  • Congenital aplasia of lung
  • Congenital clinodactyly
  • Congenital clinodactyly of distal phalanx of little finger
  • Congenital clinodactyly of finger
  • Congenital clinodactyly of index finger
  • Congenital clinodactyly of little finger
  • Congenital clinodactyly of middle finger
  • Congenital clinodactyly of ring finger
  • Congenital club finger
  • Congenital clubnail
  • Congenital deformity of hand
  • Congenital deformity of left finger
  • Congenital deformity of left hand
  • Congenital deformity of right finger
  • Congenital deformity of right hand
  • Congenital hypoplasia of cerebral hemisphere
  • Congenital hypoplasia of cerebral white matter
  • Congenital hypoplasia of finger
  • Congenital hypoplasia of index finger
  • Congenital hypoplasia of little finger
  • Congenital hypoplasia of middle finger
  • Congenital hypoplasia of middle phalanx of finger
  • Congenital hypoplasia of palmar crease
  • Congenital hypoplasia of phalanx of index finger
  • Congenital hypoplasia of phalanx of little finger
  • Congenital hypoplasia of phalanx of middle finger
  • Congenital hypoplasia of phalanx of ring finger
  • Congenital hypoplasia of proximal phalanx of hand
  • Congenital hypoplasia of proximal phalanx of index finger
  • Congenital hypoplasia of proximal phalanx of little finger
  • Congenital hypoplasia of proximal phalanx of middle finger
  • Congenital hypoplasia of proximal phalanx of ring finger
  • Congenital hypoplasia of ring finger
  • Congenital malposition of digit
  • Congenital maxillary hypoplasia
  • Congenital radial deviation of finger
  • Congenital spade-like hand
  • Congenital synostosis of metacarpal bone with proximal phalanx of hand
  • Congenital synostosis of proximal phalanx of thumb with first metacarpal bone
  • Congenital trigger finger
  • Congenital trigger finger of left hand
  • Congenital trigger finger of right hand
  • Constricting band of extremity
  • Constriction ring syndrome
  • Constriction ring syndrome of upper limb
  • Deformity of digit of hand due to amniotic band
  • Deformity of metacarpal
  • Delta phalanx of finger
  • Digital extensor muscle aplasia with polyneuropathy
  • Distal interphalangeal joint symphalangism
  • Epileptic spasms
  • Extensor tendons of finger anomalies
  • Familial isolated clinodactyly of finger
  • Finger clubbing
  • Finger joint locking
  • Hand-foot-genital syndrome
  • Heart-hand syndrome Slovenian type
  • Heart-hand syndrome type 2
  • Heart-hand syndrome type 3
  • Hereditary camptodactyly
  • Hyperphalangy
  • Hypoplasia of corpus callosum
  • Hypoplasia of distal phalanx of hand
  • Hypoplasia of distal phalanx of thumb
  • Hypoplasia of maxillary bone
  • Hypoplasia of thumb
  • Infantile spasm and broad thumb syndrome
  • Inherited aminoaciduria
  • Intellectual disability, facial dysmorphism, hand anomalies syndrome
  • L1 syndrome
  • Left congenital clinodactyly
  • Lissencephaly type 3 metacarpal bone dysplasia syndrome
  • Lung agenesis with heart defect and thumb anomaly syndrome
  • Macrodactylia of fingers
  • Macrodactyly of bilateral hands
  • Macrodactyly of fingers - simple
  • Macrodactyly of fingers- fatty nerve tumor
  • Macrodactyly of hand
  • Macrodactyly of left finger
  • Macrodactyly of right finger
  • Manus cava
  • Manus valga
  • Manus vara
  • MASA syndrome
  • Metaphyseal dysplasia, maxillary hypoplasia, brachydactyly syndrome
  • Non syndromic camptodactyly of fingers
  • Palmoplantar keratoderma with clinodactyly syndrome
  • Patent ductus arteriosus, bicuspid aortic valve, hand anomaly syndrome
  • Preaxial digit brachydactyly, webbed fingers
  • Proximal interphalangeal joint symphalangism
  • Reardon Hall Slaney syndrome
  • Right congenital clinodactyly
  • Severe intellectual disability, poor language, strabismus, grimacing face, long fingers syndrome
  • Short stature locking fingers syndrome
  • Short stature, brachydactyly, obesity, global developmental delay syndrome
  • Simple syndactyly of fingers
  • Spade-like hand
  • Spondyloepiphyseal dysplasia Cantu type
  • Stapes ankylosis with broad thumb and toe syndrome
  • Structural abnormality of epiphysis of distal phalanx of hand
  • Structural abnormality of epiphysis of phalanx of index finger
  • Structural abnormality of epiphysis of phalanx of little finger
  • Structural abnormality of epiphysis of phalanx of middle finger
  • Structural abnormality of epiphysis of phalanx of ring finger
  • Structural abnormality of epiphysis of proximal phalanx of hand
  • Sugarman brachydactyly
  • Symbrachydactyly
  • Symbrachydactyly of bilateral hands and feet
  • Symbrachydactyly of digit of hand
  • Symbrachydactyly of toe
  • Syndactyly of thumb
  • Syndactyly of toes of left foot
  • Syndactyly of toes of right foot
  • Syndactyly, camptodactyly and clinodactyly of fifth fingers, bifid toes syndrome
  • Talipomanus
  • Tarsal-carpal coalition syndrome
  • Tel Hashomer camptodactyly 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
  • Transverse deficiency of upper limb
  • Trigonocephaly
  • Trigonocephaly with broad thumb syndrome
  • Triphalangeal thumb
  • Triphalangeal thumb with brachyectrodactyly syndrome
  • Urban Rogers Meyer syndrome

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Q68.1: its own notes plus those printed at Q68 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 clubfinger
  • Spade-like hand (congenital)

Excludes1

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

From Q68 Other congenital musculoskeletal deformities applies to 8 codes
  • reduction defects of limb(s) (Q71-Q73)

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 Q68 Other congenital musculoskeletal deformities applies to 8 codes
  • congenital myotonic chondrodystrophy (G71.13)
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 Q68.1, its category, or a range that includes it.

Excludes1 2

These codes carry an Excludes1 note naming Q68.1: they are not reported together with it, unless the two conditions are unrelated.

  • R68.3 Clubbing of fingers
    congenital clubfinger (Q68.1)
  • M20 Acquired deformities of fingers and toes
    congenital deformities and malformations of fingers and toes (Q66.-, Q68-Q70, Q74.-) names Q68-Q70, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

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

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.

The full article covers:

  • What are birth defects?
  • What causes birth defects?
  • Who is at risk of having a baby with birth defects?
  • How are birth defects diagnosed?
  • What are the treatments for birth defects?
  • Can birth defects be prevented?

Read the full article at MedlinePlus

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

Convert Q68.1 to ICD-9-CMHistory

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

ICD-9-CM
754.89 Nonteratogenic anom NEC
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 Q68.1Overview

What is the ICD-10 code for congenital deformity of finger(s) and hand?

The ICD-10-CM code for congenital deformity of finger(s) and hand is Q68.1 (sometimes written as Q681). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is Q68.1 (Other congenital musculoskeletal deformities) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report congenital deformity of finger(s) and hand on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does Q68.1 group to?

When congenital deformity of finger(s) and hand 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 Q68.1 a CC or MCC?

CMS lists Q68.1 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 5 closely related codes in its exclusion list.

Is Q68.1 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 congenital deformity of finger(s) and hand on inpatient claims. The code appears in the Congenital malformations and deformations of the musculoskeletal system (Q65-Q79) range of the CMS exempt list.