Q67.0 ICD-10-CM Code: Congenital facial asymmetry
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FY 2026 Apr update / Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0) / Congenital malformations and deformations of the musculoskeletal system (Q65-Q79)
Q67.0
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceCongenital facial asymmetry
A birth defect where the face is not symmetrical, with one side appearing different in size or shape compared to the other side.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for Q67.0 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for Q67.0 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for Q67.0 in this effective period.
Excludes 1
Official- congenital malformation syndromes classified to Q87.-
- Potter's syndrome (Q60.6)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for Q67.0 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for Q67.0 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for Q67.0 in this effective period.
Buddy Documentation Tip
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is Q67.0 an HCC code?
No. Q67.0 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
Q67.0 is the ICD-10-CM diagnosis code for congenital facial asymmetry. A birth defect where the face is not symmetrical, with one side appearing different in size or shape compared to the other side. Q67.0 sits in the ICD-10-CM chapter for congenital malformations, deformations and chromosomal abnormalities (q00-qa0), within the section covering congenital malformations and deformations of the musculoskeletal system (q65-q79).
Q67.0 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Document whether asymmetry is mild, moderate, or severe if available.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Q67.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Document whether asymmetry is mild, moderate, or severe if available
- •May be associated with other craniofacial anomalies; review for additional codes