2026 ICD-10-CM Diagnosis Code Q72.13Congenital absence of thigh and lower leg with foot present, bilateral

ICD-10-CM CodesQ00-Q99Q65-Q79Q72

ICD-10-CM Q72.13
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Q72.13 is a billable ICD-10-CM diagnosis code for congenital absence of thigh and lower leg with foot present, bilateral. 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
Q72.13
Billable Status
Yes — Valid for Submission
Code Describes
Congenital absence of thigh and lower leg with foot present, bilateral
Short Description
Congen absence of thigh and lower leg w foot present, bi
Parent Code
Congenital absence of thigh and lower leg with foot present

Code Classification

ChapterQ00-Q99Congenital malformations, deformations and chromosomal abnormalities
SectionQ65-Q79Congenital malformations and deformations of the musculoskeletal system
CategoryQ72Reduction defects of lower limb
This CodeQ72.13Congenital absence of thigh and lower leg with foot present, bilateral

Present on Admission (POA)Billing

Q72.13 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.

  • Agenesis of femur
  • Agenesis of fibula
  • Agenesis of tibia
  • Aplasia of femur
  • Aplasia of fibula
  • Aplasia of tibia
  • Bilateral complete phocomelia of lower limb
  • Complete phocomelia of lower limb
  • Congenital absence of bilateral tibias
  • Congenital absence of femur
  • Congenital absence of tibia
  • Congenital absence of tibia and fibula
  • Ectromelia
  • Ectromelia of lower limb
  • Phocomelia
  • Phocomelia of lower limb
  • Reduction deformity of lower limb

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

  • Ectromelia

    gross hypo- or aplasia of one or more long bones of one or more limbs. the concept includes amelia, hemimelia, phocomelia, and sirenomelia.
  • Ectromelia virus

    a species of orthopoxvirus infecting mice and causing a disease that involves internal organs and produces characteristic skin lesions.
  • Ectromelia, Infectious

    a viral infection of mice, causing edema and necrosis followed by limb loss.
  • Orthopoxvirus

    a genus of the family poxviridae, subfamily chordopoxvirinae, comprising many species infecting mammals. viruses of this genus cause generalized infections and a rash in some hosts. the type species is vaccinia virus.
  • Ectromelia

    a congenital defect characterized by the absence or hypoplasia of one or more extremities.

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 Q72.13 to ICD-9-CMHistory

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

ICD-9-CM
755.33 Comb longitudin def leg
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 Q72.13Overview

Is Q72.13 (Congenital absence of thigh and lower leg with foot present) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report congenital absence of thigh and lower leg with foot present, bilateral on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does Q72.13 group to?

When congenital absence of thigh and lower leg with foot present, bilateral 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 Q72.13 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 absence of thigh and lower leg with foot present, bilateral on inpatient claims.

What is the ICD-9 equivalent of Q72.13?

Under the General Equivalence Mappings, congenital absence of thigh and lower leg with foot present, bilateral converts to ICD-9-CM 755.33 (comb longitudin def leg). 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.