2024 ICD-10-CM Diagnosis Code Q70.4

Polysyndactyly, unspecified

ICD-10-CM Code:
Q70.4
ICD-10 Code for:
Polysyndactyly, unspecified
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

Code Classification

  • Congenital malformations, deformations and chromosomal abnormalities
    (Q00-Q99)
    • Congenital malformations and deformations of the musculoskeletal system
      (Q65-Q79)
      • Syndactyly
        (Q70)

Q70.4 is a billable diagnosis code used to specify a medical diagnosis of polysyndactyly, unspecified. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

Unspecified diagnosis codes like Q70.4 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Approximate Synonyms

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

  • Congenital hallux varus
  • Crossed polysyndactyly
  • Hallux varus, preaxial polysyndactyly syndrome
  • Hamartoma of tongue
  • Heart defect, tongue hamartoma, polysyndactyly syndrome
  • Hyperphalangy
  • Mirror hands and feet co-occurrent with nasal defect
  • Polysyndactyly
  • Tibial hemimelia, polysyndactyly, triphalangeal thumb syndrome
  • Triphalangeal thumb
  • Triphalangeal thumb and polysyndactyly syndrome
  • Varus deformity of great toe

Clinical Classification

Clinical Information

  • GLI3 Gene|GLI-Kruppel Family Member GLI3 (Greig Cephalopolysyndactyly Syndrome) Gene|GLI3|GLI3

    this gene plays a regulatory role in limb development and is involved in sonic hedgehog signal transduction.
  • GLI3 wt Allele|GCPS|GLI-Kruppel Family Member 3|GLI-Kruppel Family Member GLI3 (Greig Cephalopolysyndactyly Syndrome) wt Allele|GLI3|PAP-A|PAPA|PHS

    human gli3 wild-type allele is located in the vicinity of 7p13 and is approximately 272 kb in length. this allele, which encodes zinc finger protein gli3, plays a role in the regulation of sonic hedgehog-dependent transcription of specific genes during the development of multiple organ systems. this gene is the site of a mutation that is linked to greig cephalopolysyndactyly syndrome.
  • Greig Syndrome|GCPS|Greig Cephalopolysyndactyly Syndrome|Greig Cephalosyndactyly Syndrome|Greig's Syndrome

    an autosomal dominant genetic disorder caused by mutations in the gli3 gene. it is characterized by physical abnormalities of the fingers and/or toes (extra fingers and/ or toes, fusion of the fingers and/or toes), large size head with prominent forehead and hypertelorism.
  • Polysyndactyly

    a rare anatomical malformation characterized by polydactyly (extra fingers or toes) and syndactyly (webbed fingers or toes).
  • Type II Acrocephalopolysyndactyly|Acrocephalopolysyndactyly Type II|Acrocephalopolysyndactyly Type II|Carpenter 's Syndrome|Carpenter Syndrome|Carpenter Syndrome

    an extremely rare autosomal recessive syndrome characterized by premature closure of cranial sutures leading to cone-shaped head, fusion of the digits, and the presence of more digits than normal. it may be associated with heart defects, single horseshoe-shaped kidney, short stature, undescended testes, and mild mental retardation.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


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.
  • specified syndactyly of hand and feet - code to specified conditions Q70.0 Q70.3

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Present on Admission (POA)

Q70.4 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 IndicatorReason 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 Q70.4 to ICD-9-CM

  • ICD-9-CM Code: 755.00 - Polydactyly NOS
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
  • ICD-9-CM Code: 755.10 - Syndactyly, multiple/NOS
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

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.