Q74 ICD-10-CM Code: Other congenital malformations of limb(s)
HCC Buddy Code Card
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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)
Q74
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceOther congenital malformations of limb(s)
Other congenital malformations of limb(s)
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 Q74 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for Q74 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for Q74 in this effective period.
Excludes 1
Official- polydactyly (Q69.-)
- reduction defect of limb (Q71-Q73)
- syndactyly (Q70.-)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for Q74 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for Q74 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for Q74 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.
Coder workflow notes
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What This Code Means
Q74 is the ICD-10-CM diagnosis code for other congenital malformations of limb(s). Q74 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 Q74 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 Q74'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 Q74 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.