Q72.33 ICD-10-CM Code: Congenital absence of foot and toe(s), bilateral
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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)
Q72.33
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceCongenital absence of foot and toe(s), bilateral
A birth defect where both feet and toes are missing or underdeveloped on both sides of the body.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for Q72.33 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for Q72.33 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for Q72.33 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for Q72.33 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for Q72.33 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for Q72.33 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for Q72.33 in this effective period.
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is Q72.33 an HCC code?
No. Q72.33 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- Q72.33
- Description
- Congenital absence of foot and toe(s), bilateral
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF
- —
- Billable
- Yes
- Payment year
- 2026
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
Q72.33 is the ICD-10-CM diagnosis code for congenital absence of foot and toe(s), bilateral. A birth defect where both feet and toes are missing or underdeveloped on both sides of the body. Q72.33 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).
Q72.33 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.
Use this code only when the defect is confirmed bilateral; unilateral cases require Q72.31 or Q72.32.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Q72.33 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.