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Q72.3 ICD-10-CM Code: Congenital absence of foot and toe(s)

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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)

Q72.3

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Congenital absence of foot and toe(s)

Congenital absence of foot and toe(s)

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
Q72Reduction defects of lower limb
Q72.3Congenital absence of foot and toe(s)

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for Q72.3 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for Q72.3 in this effective period.

Related Child Codes

Official
Q72.30Congenital absence of unspecified foot and toe(s)
Q72.31Congenital absence of right foot and toe(s)
Q72.32Congenital absence of left foot and toe(s)
Q72.33Congenital absence of foot and toe(s), bilateral

Includes

Official

ICD-10-CM does not list Includes notes for Q72.3 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for Q72.3 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Q72.3 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Q72.3 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Q72.3 in this effective period.

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.

What This Code Means

Q72.3 is the ICD-10-CM diagnosis code for congenital absence of foot and toe(s). Q72.3 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).

Header codes like Q72.3 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at Q72.3's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Q72.3 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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