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Q71.812

Billable

Congenital shortening of left upper limb

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

Is Q71.812 an HCC code?

No. Q71.812 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Q71.812 is the ICD-10-CM diagnosis code for congenital shortening of left upper limb. A congenital condition where the left upper limb (arm) is abnormally short from birth due to underdevelopment. Q71.812 sits in the ICD-10-CM chapter for congenital malformations, deformations, chromosomal abnormalities, and genetic disorders (q00-qa0), within the section covering congenital malformations and deformations of the musculoskeletal system (q65-q79).

Q71.812 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.

This code is specific to the left side; use Q71.811 for right side or Q71.813 for bilateral.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Q71.812 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code is specific to the left side; use Q71.811 for right side or Q71.813 for bilateral
  • Note any associated orthopedic interventions or prosthetic considerations in the medical record

Code Hierarchy

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