ICD-10-CM Code Q74.2

Other congenital malformations of lower limb(s), including pelvic girdle

Version 2020 Billable Code POA Exempt

Valid for Submission

Q74.2 is a billable code used to specify a medical diagnosis of other congenital malformations of lower limb(s), including pelvic girdle. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Q74.2 might also be used to specify conditions or terms like absence of fibula, accessory left tarsal navicular bone, accessory navicular bone of foot, accessory navicular bone of foot, accessory right tarsal navicular bone, accessory tarsal bone of bilateral feet, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:Q74.2
Short Description:Oth congen malform of lower limb(s), including pelvic girdle
Long Description:Other congenital malformations of lower limb(s), including pelvic girdle

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 Q74.2:

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 fusion of sacroiliac joint
  • Congenital malformation of ankle joint
  • Congenital malformation of sacroiliac joint

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.
  • anteversion of femur neck Q65.89

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 Q74.2 are found in the index:


Synonyms

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

  • Absence of fibula
  • Accessory left tarsal navicular bone
  • Accessory navicular bone of foot
  • Accessory navicular bone of foot
  • Accessory right tarsal navicular bone
  • Accessory tarsal bone of bilateral feet
  • Accessory tarsal bone of right foot
  • Aphonia, deafness, retinal dystrophy, bifid halluces, intellectual disability syndrome
  • Assimilation pelvis
  • Beaked pelvis
  • Bilateral accessory navicular bones
  • Bilateral congenital deformity of lower limbs
  • Bilateral congenital retroversion of femurs
  • Bipartite talus
  • Blunderbuss pelvis
  • Brachypellic pelvis
  • Congenital abnormal fusion of calcaneus
  • Congenital abnormal fusion of femur
  • Congenital abnormal fusion of fibula
  • Congenital abnormal fusion of ilium
  • Congenital abnormal fusion of ischium
  • Congenital abnormal fusion of metatarsal bone
  • Congenital abnormal fusion of talus
  • Congenital abnormal fusion of tarsal bone
  • Congenital abnormal fusion of tibia
  • Congenital abnormal shape of calcaneus
  • Congenital abnormal shape of femur
  • Congenital abnormal shape of fibula
  • Congenital abnormal shape of ilium
  • Congenital abnormal shape of ischium
  • Congenital abnormal shape of metatarsal bone
  • Congenital abnormal shape of pubis
  • Congenital abnormal shape of talus
  • Congenital abnormal shape of tarsal bone
  • Congenital abnormal shape of tibia
  • Congenital abnormality of lower limb and pelvic girdle
  • Congenital absence of ilium
  • Congenital absence of ischium
  • Congenital absence of pubis
  • Congenital angulation of tibia
  • Congenital anomaly of calcaneus
  • Congenital anomaly of femur
  • Congenital anomaly of fibula
  • Congenital anomaly of foot
  • Congenital anomaly of ilium
  • Congenital anomaly of ischium
  • Congenital anomaly of lower limb
  • Congenital anomaly of metatarsal bone
  • Congenital anomaly of ossicles of ear
  • Congenital anomaly of pelvic bones
  • Congenital anomaly of pubis
  • Congenital anomaly of talus
  • Congenital anomaly of tarsal bone
  • Congenital anomaly of the pelvis
  • Congenital anomaly of tibia
  • Congenital anomaly of toe
  • Congenital anteversion of femur
  • Congenital anteversion of left femur
  • Congenital ball and socket ankle
  • Congenital bent ilium
  • Congenital bent ischium
  • Congenital bent pubis
  • Congenital bilateral internal tibial torsion
  • Congenital contracted pelvis
  • Congenital crossed toes
  • Congenital curly toes
  • Congenital deformity of ankle joint
  • Congenital deformity of foot and ankle
  • Congenital deformity of left lower limb
  • Congenital deformity of right lower limb
  • Congenital deformity of sacroiliac joint
  • Congenital fusion of sacroiliac joint
  • Congenital hypoplasia of ilium
  • Congenital hypoplasia of ischium
  • Congenital hypoplasia of pubis
  • Congenital internal tibial torsion
  • Congenital internal torsion of tibia of left lower limb
  • Congenital internal torsion of tibia of right lower limb
  • Congenital malposition of calcaneus
  • Congenital malposition of femur
  • Congenital malposition of fibula
  • Congenital malposition of ilium
  • Congenital malposition of ischium
  • Congenital malposition of metatarsal bone
  • Congenital malposition of pubis
  • Congenital malposition of talus
  • Congenital malposition of tarsal bone
  • Congenital malposition of tibia
  • Congenital misalignment of pubis
  • Congenital overgrowth of distal lower limb
  • Congenital overgrowth of foot
  • Congenital overgrowth of foot
  • Congenital overgrowth of foot
  • Congenital overgrowth of lower limb
  • Congenital overgrowth of partial lower limb
  • Congenital overgrowth of proximal lower limb
  • Congenital overgrowth of whole lower limb
  • Congenital pelvic obliquity
  • Congenital prognathism
  • Congenital pseudoarthrosis of tibia
  • Congenital retroversion of left femur
  • Congenital retroversion of right femur
  • Congenital synostosis of lower limb bones
  • Congenital thickening of femur
  • Congenital thickening of fibula
  • Congenital thickening of ilium
  • Congenital thickening of ischium
  • Congenital thickening of pubis
  • Congenital thickening of talus
  • Congenital thickening of tarsal bone
  • Congenital thickening of tibia
  • Congenital undergrowth of partial lower limb
  • Congenital valgus ankle
  • Congenital varus ankle
  • Congenital wide symphysis pubis
  • Constricting band of extremity
  • Constriction ring of lower limb with lymphedema
  • Constriction ring syndrome
  • Constriction ring syndrome of lower limb
  • Constriction ring syndrome of lower limb with amputation
  • Cordate pelvis
  • Deventer's pelvis
  • Diplopodia
  • Dolichopellic pelvis
  • Duplication of femur
  • Duplication of fibula
  • Duplication of lower limb
  • Duplication of lower limb bone
  • Duplication of tibia
  • Duplication of whole limb
  • Duplication of whole lower limb
  • Dwarf pelvis
  • Dysplasia of head of femur Meyer type
  • External malleolar torsion
  • Failure of differentiation of bones of lower limb
  • Failure of soft tissue differentiation of lower limb
  • Fibular aplasia and ectrodactyly syndrome
  • Funnel-shaped pelvis
  • Gollop Wolfgang complex
  • Hand-foot-genital syndrome
  • High assimilation pelvis
  • Hypertrophy of leg
  • Incomplete ossification of calcaneus
  • Incomplete ossification of femur
  • Incomplete ossification of fibula
  • Incomplete ossification of ilium
  • Incomplete ossification of ischium
  • Incomplete ossification of metatarsal bone
  • Incomplete ossification of pubis
  • Incomplete ossification of talus
  • Incomplete ossification of tarsal bone
  • Incomplete ossification of tibia
  • Internal malleolar torsion
  • Internal tibial torsion
  • Internal tibial torsion
  • Internal tibial torsion
  • Inverted pelvis
  • Juvenile pelvis
  • Lack of ossification of calcaneus
  • Lack of ossification of femur
  • Lack of ossification of fibula
  • Lack of ossification of ilium
  • Lack of ossification of metatarsal bone
  • Lack of ossification of pubis
  • Lack of ossification of talus
  • Lack of ossification of tarsal bone
  • Lack of ossification of tibia
  • Lower limb malformation hypospadias syndrome
  • Lymphedema of lower extremity
  • Macrodactyly of toe
  • Macrodactyly of toe
  • Macrodactyly of toe
  • Macrodactyly of toe of left foot
  • Macrodactyly of toe of right foot
  • Macrodactyly of toes - fatty nerve tumor
  • Macrodactyly of toes - simple
  • Mesatipellic pelvis
  • MMEP syndrome
  • Morava Mehes syndrome
  • Nagele's pelvis
  • Occipital encephalocele
  • Ophthalmo-acromelic syndrome
  • Oto-onycho-peroneal syndrome
  • Pelvic obliquity
  • Pelvis justo major
  • Pelvis justo minor
  • Pelvis plana
  • Pelvis shoulder dysplasia
  • Perodactylia of great toe
  • Perodactylia of lesser toe
  • Perodactylia of multiple toes
  • Plantarflexed cuboid
  • Platypellic pelvis
  • Reniform pelvis
  • Robert's pelvis
  • Short rib dysplasia
  • Stapes ankylosis with broad thumb and toe syndrome
  • Supernumerary metatarsal bone
  • Tall stature, scoliosis, macrodactyly of great toe syndrome
  • Thoracolaryngopelvic dysplasia
  • Tibio-fibular synostosis
  • Triphalangeal great toe
  • Zechi Ceide syndrome

Diagnostic Related Groups

The ICD-10 code Q74.2 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.

  • 564 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
  • 565 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
  • 566 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC

Present on Admission (POA)

Q74.2 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 Q74.2 to ICD-9

  • 755.65 - Macrodactylia of toes (Approximate Flag)
  • 755.69 - Lower limb anomaly 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 malformations of limb (Q74) (s)

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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