2025 ICD-10-CM Diagnosis Code Q74.0
Other congenital malformations of upper limb(s), including shoulder girdle
- ICD-10-CM Code:
- Q74.0
- ICD-10 Code for:
- Oth congen malform of upper limb(s), inc shoulder girdle
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Chronic
- Code Navigator:
Q74.0 is a billable diagnosis code used to specify a medical diagnosis of other congenital malformations of upper limb(s), including shoulder girdle. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2024 through September 30, 2025. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
Approximate Synonyms
The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.
- Aberrant forearm extensor muscle
- Aberrant intrinsic muscles of hand
- Aberrant muscle of the upper limb
- Absence of clavicle
- Absence of scapula
- Absence of upper arm
- Accessory carpal bones
- Acrodysplasia scoliosis
- Acrosyndactyly of the fingers
- Adducted thumbs and arthrogryposis syndrome Christian type
- Agenesis of clavicle
- Agenesis of scapula
- Amegakaryocytic thrombocytopenia
- Amegakaryocytic thrombocytopenia with congenital malformation
- Antecubital pterygium syndrome
- Arthropathy of bilateral wrist joints
- Atrioventricular septal defect, blepharophimosis, radial and anal defect syndrome
- Bifid digit
- Bifid thumb
- Bilateral accessory carpal bone of wrists
- Bilateral congenital abnormal fusion of carpal bones
- Bilateral congenital anomaly of upper limbs
- Bilateral congenital deformity of upper limbs
- Bilateral congenital dislocation of hip
- Bilateral congenital dysplasia of upper limbs
- Bilateral congenital elevation of scapulae
- Bilateral congenital upper limb hypertrophy
- Bilateral humeroradial synostosis
- Bilateral humero-radio-ulnar synostosis
- Bilateral humero-ulnar synostosis
- Bilateral Madelung deformity
- Bilateral polydactyly of thumb
- Bilateral triphalangeal thumb
- Bowing of upper limb
- Bowing of upper limb
- Brachydactyly of hand
- Brachymesophalangia
- Capitate-hamate synostosis
- Char syndrome
- Cleft mandible
- Cleidocranial dysostosis
- Congenital abnormal fusion of carpal bone
- Congenital abnormal fusion of carpal bone
- Congenital abnormal fusion of carpal bone
- Congenital abnormal fusion of carpal bone
- Congenital abnormal fusion of carpal bone
- Congenital abnormal fusion of carpal bone
- Congenital abnormal fusion of humerus
- Congenital abnormal fusion of left carpal bones
- Congenital abnormal fusion of metacarpal bone
- Congenital abnormal fusion of radius
- Congenital abnormal fusion of right carpal bones
- Congenital abnormal fusion of ulna
- Congenital abnormal shape of carpal bone
- Congenital abnormal shape of clavicle
- Congenital abnormal shape of humerus
- Congenital abnormal shape of metacarpal bone
- Congenital abnormal shape of radius
- Congenital abnormal shape of scapula
- Congenital abnormal shape of ulna
- Congenital absence of carpal bone
- Congenital absence of humerus
- Congenital absence of part of upper arm
- Congenital absence of radius
- Congenital absence of scapula
- Congenital amputation of upper limb
- Congenital anomalies of elbow and upper arm
- Congenital anomaly of bone of shoulder girdle
- Congenital anomaly of carpal bone
- Congenital anomaly of humerus
- Congenital anomaly of left upper limb
- Congenital anomaly of metacarpal bone
- Congenital anomaly of radius
- Congenital anomaly of right upper limb
- Congenital anomaly of scapula
- Congenital anomaly of ulna
- Congenital anomaly of upper limb
- Congenital bent humerus
- Congenital bent radius
- Congenital bent scapula
- Congenital bilateral cubitus valgus
- Congenital bowing of ulna
- Congenital cubitus valgus
- Congenital cubitus valgus
- Congenital cubitus valgus
- Congenital cubitus varus
- Congenital deformity of bilateral clavicles
- Congenital deformity of bilateral forearms
- Congenital deformity of bone of forearm
- Congenital deformity of clavicle
- Congenital deformity of left clavicle
- Congenital deformity of left forearm
- Congenital deformity of left upper limb
- Congenital deformity of right clavicle
- Congenital deformity of right forearm
- Congenital deformity of right upper limb
- Congenital deformity of scapula
- Congenital deformity of shoulder
- Congenital deformity of upper arm
- Congenital deformity of upper limb
- Congenital dislocation of elbow
- Congenital dislocation of glenohumeral joint
- Congenital dislocation of glenohumeral joint
- Congenital dislocation of joint of shoulder region
- Congenital dislocation of left glenohumeral joint
- Congenital dislocation of left hip
- Congenital dislocation of patella
- Congenital dislocation of radial head
- Congenital dislocation of right glenohumeral joint
- Congenital dislocation of right hip
- Congenital dysplasia of joint of left shoulder region
- Congenital dysplasia of joint of right shoulder region
- Congenital dysplasia of joint of shoulder region
- Congenital dysplasia of left upper limb
- Congenital dysplasia of right upper limb
- Congenital elevation of left scapula
- Congenital elevation of right scapula
- Congenital elevation of scapula
- Congenital elevation of scapula
- Congenital glenoid dysplasia
- Congenital glenoid dysplasia of bilateral scapulae
- Congenital glenoid dysplasia of left scapula
- Congenital glenoid dysplasia of right scapula
- Congenital humeral varus
- Congenital hypoplasia of cerebrum
- Congenital hypoplasia of clavicle
- Congenital hypoplasia of clavicle
- Congenital hypoplasia of radius
- Congenital left cubitus valgus
- Congenital macrodactyly
- Congenital malformation of thumb
- Congenital malposition of carpal bone
- Congenital malposition of humerus
- Congenital malposition of metacarpal bone
- Congenital malposition of radius
- Congenital malposition of ulna
- Congenital negative ulnar variant of wrist
- Congenital omphalocele
- Congenital omphalocele, diaphragmatic hernia, cardiovascular anomalies, radial ray defect syndrome
- Congenital positive ulnar variant of bilateral wrists
- Congenital positive ulnar variant of wrist
- Congenital pseudoarthrosis of clavicle
- Congenital pseudoarthrosis of limb
- Congenital radioulnar synostosis
- Congenital radioulnar synostosis
- Congenital radioulnar synostosis
- Congenital radioulnar synostosis
- Congenital radioulnar synostosis
- Congenital radioulnar synostosis of left upper limb
- Congenital right cubitus valgus
- Congenital subluxation of carpus
- Congenital thickening of humerus
- Congenital thickening of radius
- Congenital thickening of scapula
- Congenital thickening of ulna
- Congenital trigger finger
- Congenital trigger finger of bilateral hands
- Congenital trigger finger of left hand
- Congenital trigger finger of right hand
- Congenital ulnar positive variant of left wrist
- Congenital ulnar positive variant of right wrist
- Congenital umbilical hernia
- Constricting band of extremity
- Constricting band of extremity
- Constricting band of extremity
- Constriction ring of upper limb with acrosyndactyly and amputation
- Constriction ring of upper limb with lymphedema
- Constriction ring syndrome
- Constriction ring syndrome
- Constriction ring syndrome
- Constriction ring syndrome of upper limb
- Constriction ring syndrome of upper limb
- Constriction ring syndrome of upper limb
- Craniolacunia
- Deformity of humerus
- Deformity of humerus
- Deformity of radius
- Deformity of scapula
- Deformity of scapula
- Deformity of ulna
- Dislocation of joint of left shoulder region due to congenital dysplasia of joint of left shoulder region
- Dislocation of joint of right shoulder region due to congenital dysplasia of joint of right shoulder region
- Dislocation of joint of shoulder region due to congenital dysplasia of joint of shoulder region
- Dislocation of joint of shoulder region due to congenital dysplasia of joint of shoulder region
- Dislocation of joint of shoulder region due to congenital dysplasia of joint of shoulder region
- Distal radioulnar synostosis
- Duane-radial ray syndrome
- Duplication of humerus
- Duplication of radius
- Duplication of upper limb
- Duplication of whole hand
- Duplication of whole limb
- Duplication of whole upper limb
- Failure of differentiation of bones of forearm
- Femur fibula ulna complex
- Frontonasal dysplasia sequence
- Frontonasal dysplasia, bifid nose, upper limb anomalies syndrome
- Generalized spacing of maxillary teeth
- Hemifacial microsomia
- Hemifacial microsomia with radial defect syndrome
- Hip pathological dislocation
- Hitch-hiker thumb
- Humeroradial synostosis
- Humeroradioulnar synostosis
- Humeroulnar synostosis
- Humeroulnar synostosis
- Humerus trochlea aplasia
- Hydrocephalus, costovertebral dysplasia, Sprengel anomaly syndrome
- Hyperphalangy
- Hyperphalangy
- Hyperphalangy
- Hyperphalangy
- Hyperphalangy
- Hyperphalangy
- Hypertrophy of humerus
- Hypertrophy of upper limb
- Hypoplasia of corpus callosum
- Hypoplasia of radius
- Incomplete ossification of carpal bone
- Incomplete ossification of humerus
- Incomplete ossification of metacarpal bone
- Incomplete ossification of radius
- Incomplete ossification of scapula
- Incomplete ossification of ulna
- L1 syndrome
- Lack of ossification of carpal bone
- Lack of ossification of humerus
- Lack of ossification of metacarpal bone
- Lack of ossification of radius
- Lack of ossification of scapula
- Lack of ossification of ulna
- Left accessory carpal bone of wrist
- Liebenberg syndrome
- Localized congenital skull defect
- Lunate-triquetrum synostosis
- Lymphedema of upper limb
- Macrodactylia of fingers
- Macrodactyly of hand
- Macrodactyly of left finger
- Macrodactyly of thumb
- Macromelia
- Madelung's deformity
- Manus plana
- Mesomelic dysplasia of upper limb
- Morava Mehes syndrome
- Oto-onycho-peroneal syndrome
- Overgrowth of partial upper limb
- Overgrowth of upper limb
- Overgrowth of whole upper limb
- Parietal foramina with clavicular hypoplasia
- Partial radial absence
- Pathological dislocation of bilateral hips
- Pathological dislocation of left hip
- Pathological dislocation of right hip
- Pelvis shoulder dysplasia
- PHAVER syndrome
- Polydactyly of left thumb
- Polydactyly of right thumb
- Proximal radioulnar synostosis
- Pseudoarthrosis
- Pseudoarthrosis of clavicle
- Radioulnar dysostosis
- Radioulnar synostosis
- Radioulnar synostosis and dislocation of radial head
- Radioulnar synostosis of left upper limb
- Radioulnar synostosis with amegakaryocytic thrombocytopenia syndrome
- Radioulnar synostosis with developmental delay and hypotonia syndrome
- Radioulnar synostosis with microcephaly and scoliosis syndrome
- Right accessory carpal bone of wrist
- Robin sequence
- Scaphoid-lunate synostosis
- Schmitt Gillenwater Kelly syndrome
- Short stature, Pierre Robin sequence, cleft mandible, hand anomalies, clubfoot syndrome
- Spondylometaphyseal dysplasia, bowed forearms, facial dysmorphism syndrome
- Steel syndrome
- Supernumerary metacarpal bone
- Thin clavicle
- Tibial hemimelia, polysyndactyly, triphalangeal thumb syndrome
- Triphalangeal thumb
- Triphalangeal thumb
- Triphalangeal thumb
- Triphalangeal thumb
- Triphalangeal thumb
- Triphalangeal thumb and dislocation of patella syndrome
- Triphalangeal thumb and polysyndactyly syndrome
- Triphalangeal thumb with brachyectrodactyly syndrome
- True congenital shoulder dislocation
- Ulnar dimelia
- Ulnar mammary syndrome
- Undergrowth of whole hand
- Upper limb defect with eye and ear abnormalities syndrome
- Windblown hand
Clinical Classification
Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.
They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.
Musculoskeletal congenital conditions
CCSR Code: MAL008
Inpatient Default: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
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.
Inclusion Terms
Inclusion TermsThese 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.
- Accessory carpal bones
- Cleidocranial dysostosis
- Congenital pseudarthrosis of clavicle
- Macrodactylia (fingers)
- Madelung's deformity
- Radioulnar synostosis
- Sprengel's deformity
- Triphalangeal thumb
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).
- - Accessory (congenital)
- - carpal bones - Q74.0
- - sesamoid bones - Q74.8
- - hand - Q74.0
- - Agenesis
- - clavicle - Q74.0
- - scapula - Q74.0
- - shoulder girdle (complete) (partial) - Q74.0
- - Angulation
- - wrist (acquired) - See Also: Deformity, limb, specified type NEC, forearm;
- - congenital - Q74.0
- - wrist (acquired) - See Also: Deformity, limb, specified type NEC, forearm;
- - Anomaly, anomalous (congenital) (unspecified type) - Q89.9
- - arm - Q74.0
- - bone - Q79.9
- - arm - Q74.0
- - shoulder girdle - Q74.0
- - carpus - Q74.0
- - clavicle - Q74.0
- - elbow - Q74.0
- - finger - Q74.0
- - forearm - Q74.0
- - hand - Q74.0
- - humerus - Q74.0
- - limb - Q74.9
- - upper - Q74.0
- - metacarpus - Q74.0
- - radius - Q74.0
- - scapula - Q74.0
- - shoulder (girdle) (joint) - Q74.0
- - thumb - Q74.0
- - ulna - Q74.0
- - upper limb - Q74.0
- - wrist (joint) - Q74.0
- - Biparta, bipartite
- - carpal scaphoid - Q74.0
- - Cleidocranial dysostosis - Q74.0
- - Craniocleidodysostosis - Q74.0
- - Deformity - Q89.9
- - humerus (acquired) - M21.82
- - congenital - Q74.0
- - Madelung's (radius) - Q74.0
- - metacarpus (acquired) - See: Deformity, limb, forearm;
- - congenital - Q74.0
- - shoulder (joint) (acquired) - See: Deformity, limb, upper arm;
- - congenital - Q74.0
- - Sprengel's (congenital) - Q74.0
- - humerus (acquired) - M21.82
- - Distortion (s) (congenital)
- - clavicle - Q74.0
- - scapula - Q74.0
- - shoulder girdle - Q74.0
- - Dysostosis
- - cleidocranial, cleidocranialis - Q74.0
- - Elevated, elevation
- - scapula, congenital - Q74.0
- - Fusion, fused (congenital)
- - limb, congenital - Q74.8
- - upper - Q74.0
- - limb, congenital - Q74.8
- - Hypoplasia, hypoplastic
- - clavicle (congenital) - Q74.0
- - scapula - Q74.0
- - shoulder girdle - Q74.0
- - Madelung's
- - deformity (radius) - Q74.0
- - disease
- - radial deformity - Q74.0
- - Mallet finger (acquired) - See: Deformity, finger, mallet finger;
- - congenital - Q74.0
- - Pseudarthrosis, pseudoarthrosis (bone) - See: Nonunion, fracture;
- - clavicle, congenital - Q74.0
- - Sprengel's deformity (congenital) - Q74.0
- - Supernumerary (congenital)
- - carpal bones - Q74.0
- - Synostosis (congenital) - Q78.8
- - radioulnar - Q74.0
- - Trigger finger (acquired) - M65.30
- - congenital - Q74.0
- - Triphalangeal thumb - Q74.0
Present on Admission (POA)
Q74.0 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: Y
Reason: Diagnosis was present at time of inpatient admission.
CMS Pays CC/MCC DRG? YES
POA Indicator: N
Reason: Diagnosis was not present at time of inpatient admission.
CMS Pays CC/MCC DRG? NO
POA Indicator: U
Reason: Documentation insufficient to determine if the condition was present at the time of inpatient admission.
CMS Pays CC/MCC DRG? NO
POA Indicator: W
Reason: Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.
CMS Pays CC/MCC DRG? YES
POA Indicator: 1
Reason: Unreported/Not used - Exempt from POA reporting.
CMS Pays CC/MCC DRG? NO
Convert Q74.0 to ICD-9-CM
Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.
Radioulnar synostosis
ICD-9-CM: 755.53
Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.
Madelung's deformity
ICD-9-CM: 755.54
Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.
Accessory carpal bones
ICD-9-CM: 755.56
Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.
Macrodactylia (fingers)
ICD-9-CM: 755.57
Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.
Upper limb anomaly NEC
ICD-9-CM: 755.59
Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.
Patient Education
Birth Defects
What are 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. Others, like heart disease, are found using special tests. Birth defects can range from mild to severe. How a birth defect affects a child's life depends mostly on which organ or body part is involved and how severe the defect is.
What causes birth defects?
For some birth defects, researchers know the cause. But for many birth defects, the exact cause is unknown. Researchers think that most birth defects are caused by a complex mix of factors, which can include:
- Genetics. One or more genes might have a change or mutation that prevents them from working properly. For example, this happens in Fragile X syndrome. With some defects, a gene or part of the gene might be missing.
- Chromosomal problems. In some cases, a chromosome or part of a chromosome might be missing. This is what happens in Turner syndrome. In other cases, such as with Down syndrome, the child has an extra chromosome.
- Exposures to medicines, chemicals, or other toxic substances. For example, alcohol misuse can cause fetal alcohol spectrum disorders.
- Infections during pregnancy. For example, infection with Zika virus during pregnancy can cause a serious defect in the brain.
- Lack of certain nutrients. Not getting enough folic acid before and during pregnancy is a key factor in causing neural tube defects.
Who is at risk of having a baby with birth defects?
Certain factors may increase the chances of having a baby with a birth defect, such as:
- Smoking, drinking alcohol, or taking certain "street" drugs during pregnancy
- Having certain medical conditions, such as obesity or uncontrolled diabetes, before and during pregnancy
- Taking certain medicines
- Having someone in your family with a birth defect. To learn more about your risk of having a baby with a birth defect, you can talk with a genetic counselor,
- Being an older mother, typically over the age of 34 years
How are birth defects diagnosed?
Health care providers can diagnose some birth defects during pregnancy, using prenatal testing. That's why it important to get regular prenatal care.
Other birth defects may not be found until after the baby is born. Providers may find them through newborn screening. Some defects, such as club foot, are obvious right away. Other times, the health care provider may not discover a defect until later in life, when the child has symptoms.
What are the treatments for birth defects?
Children with birth defects often need special care and treatments. Because the symptoms and problems caused by birth defects vary, the treatments also vary. Possible treatments may include surgery, medicines, assistive devices, physical therapy, and speech therapy.
Often, children with birth defects need a variety of services and may need to see several specialists. The primary health care provider can coordinate the special care that the child needs.
Can birth defects be prevented?
Not all birth defects can be prevented. But there are things you can do before and during pregnancy to increase your chance of having a healthy baby:
- Start prenatal care as soon as you think you might be pregnant, and see your health care provider regularly during pregnancy
- Get 400 micrograms (mcg) of folic acid every day. If possible, you should start taking it at least one month before you get pregnant.
- Don't drink alcohol, smoke, or use "street" drugs
- Talk to your health care provider about any medicines you are taking or thinking about taking. This includes prescription and over-the-counter medicines, as well as dietary or herbal supplements.
- Learn how to prevent infections during pregnancy
- If you have any medical conditions, try to get them under control before you get pregnant
Centers for Disease Control and Prevention
[Learn More in MedlinePlus]
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.