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Q75 ICD-10-CM Code: Other congenital malformations of skull and face bones

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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)

Q75

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

Other congenital malformations of skull and face bones

Other congenital malformations of skull and face bones

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
Q7Congenital malformations and deformations of the musculoskeletal system (Q65-Q79)
Q75Other congenital malformations of skull and face bones

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for Q75 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for Q75 in this effective period.

Related Child Codes

Official
Q75.0Craniosynostosis
Q75.1Craniofacial dysostosis
Q75.2Hypertelorism
Q75.3Macrocephaly
Q75.4Mandibulofacial dysostosis

Includes

Official

ICD-10-CM does not list Includes notes for Q75 in this effective period.

Excludes 1

Official
  • congenital malformation of face NOS (Q18.-)
  • congenital malformation syndromes classified to Q87.-
  • dentofacial anomalies [including malocclusion] (M26.-)
  • musculoskeletal deformities of head and face (Q67.0-Q67.4)
  • skull defects associated with congenital anomalies of brain such as:

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Q75 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Q75 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Q75 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

Q75 is the ICD-10-CM diagnosis code for other congenital malformations of skull and face bones. Q75 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 Q75 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 Q75'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 Q75 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • congenital malformation of face NOS (Q18.-)
  • congenital malformation syndromes classified to Q87.-
  • dentofacial anomalies [including malocclusion] (M26.-)
  • musculoskeletal deformities of head and face (Q67.0-Q67.4)
  • skull defects associated with congenital anomalies of brain such as:
  • anencephaly (Q00.0)
  • encephalocele (Q01.-)
  • hydrocephalus (Q03.-)
  • microcephaly (Q02)

Child Codes

Code Hierarchy

Q75Other congenital malformations of skull and face bones
Q75Other congenital malformations of skull and face bones

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