ICD-10-CM Codes
Q00-Q99 Congenital malformations, deformations and chromosomal abnormalities
Q65-Q79 Congenital malformations and deformations of the musculoskeletal system
Q67- Congenital musculoskeletal deformities of head, face, spine and chest
2022 ICD-10-CM Diagnosis Code Q67.4

2022 ICD-10-CM Diagnosis Code Q67.4

Other congenital deformities of skull, face and jaw

2016

2017

2018

2019

2020

2021

2022

Billable/Specific Code

POA Exempt

Q67.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2022 edition of ICD-10-CM Q67.4 became effective on October 1, 2021.
This is the American ICD-10-CM version of Q67.4 - other international versions of ICD-10 Q67.4 may differ.

Applicable To

Congenital depressions in skull
Congenital hemifacial atrophy or hypertrophy
Deviation of nasal septum, congenital
Squashed or bent nose, congenital

Type 1 Excludes

Type 1 Excludes Help

A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as Q67.4. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

dentofacial anomalies [including malocclusion] (
ICD-10-CM Diagnosis Code M26
- M26 Dentofacial anomalies [including malocclusion...
  - M26.0 Major anomalies of jaw size
    - M26.00 Unspecified anomaly of jaw size
    - M26.01 Maxillary hyperplasia
    - M26.02 Maxillary hypoplasia
    - M26.03 Mandibular hyperplasia
    - M26.04 Mandibular hypoplasia
    - M26.05 Macrogenia
    - M26.06 Microgenia
    - M26.07 Excessive tuberosity of jaw
    - M26.09 Other specified anomalies of jaw size
  - M26.1 Anomalies of jaw-cranial base relationship
    - M26.10 Unspecified anomaly of jaw-cranial base relat...
    - M26.11 Maxillary asymmetry
    - M26.12 Other jaw asymmetry
    - M26.19 Other specified anomalies of jaw-cranial base...
  - M26.2 Anomalies of dental arch relationship
    - M26.20 Unspecified anomaly of dental arch relationsh...
    - M26.21 Malocclusion, Angle's class
      M26.211 …… I
      M26.212 …… II
      M26.213 …… III
      M26.219 …… unspecified
    - M26.22 Open occlusal relationship
      M26.220 Open anterior occlusal relationship
      M26.221 Open posterior occlusal relationship
    - M26.23 Excessive horizontal overlap
    - M26.24 Reverse articulation
    - M26.25 Anomalies of interarch distance
    - M26.29 Other anomalies of dental arch relationship
  - M26.3 Anomalies of tooth position of fully erupted ...
    - M26.30 Unspecified anomaly of tooth position of full...
    - M26.31 Crowding of fully erupted teeth
    - M26.32 Excessive spacing of fully erupted teeth
    - M26.33 Horizontal displacement of fully erupted toot...
    - M26.34 Vertical displacement of fully erupted tooth ...
    - M26.35 Rotation of fully erupted tooth or teeth
    - M26.36 Insufficient interocclusal distance of fully ...
    - M26.37 Excessive interocclusal distance of fully eru...
    - M26.39 Other anomalies of tooth position of fully er...
  - M26.4 Malocclusion, unspecified
  - M26.5 Dentofacial functional abnormalities
    - M26.50 Dentofacial functional abnormalities, unspeci...
    - M26.51 Abnormal jaw closure
    - M26.52 Limited mandibular range of motion
    - M26.53 Deviation in opening and closing of the mandi...
    - M26.54 Insufficient anterior guidance
    - M26.55 Centric occlusion maximum intercuspation disc...
    - M26.56 Non-working side interference
    - M26.57 Lack of posterior occlusal support
    - M26.59 Other dentofacial functional abnormalities
  - M26.6 Temporomandibular joint disorders
    - M26.60 Temporomandibular joint disorder, unspecified...
      M26.601 Right temporomandibular joint disorder, unspe...
      M26.602 Left temporomandibular joint disorder, unspec...
      M26.603 Bilateral temporomandibular joint disorder, u...
      M26.609 Unspecified temporomandibular joint disorder,...
    - M26.61 Adhesions and ankylosis of temporomandibular ...
      M26.611 Adhesions and ankylosis of right temporomandi...
      M26.612 Adhesions and ankylosis of left temporomandib...
      M26.613 Adhesions and ankylosis of bilateral temporom...
      M26.619 Adhesions and ankylosis of temporomandibular ...
    - M26.62 Arthralgia of temporomandibular joint
      M26.621 Arthralgia of right temporomandibular joint
      M26.622 Arthralgia of left temporomandibular joint
      M26.623 Arthralgia of bilateral temporomandibular joi...
      M26.629 Arthralgia of temporomandibular joint, unspec...
    - M26.63 Articular disc disorder of temporomandibular ...
      M26.631 Articular disc disorder of right temporomandi...
      M26.632 Articular disc disorder of left temporomandib...
      M26.633 Articular disc disorder of bilateral temporom...
      M26.639 Articular disc disorder of temporomandibular ...
    - M26.64 Arthritis of temporomandibular joint
      M26.641 Arthritis of right temporomandibular joint
      M26.642 Arthritis of left temporomandibular joint
      M26.643 Arthritis of bilateral temporomandibular join...
      M26.649 Arthritis of unspecified temporomandibular jo...
    - M26.65 Arthropathy of temporomandibular joint
      M26.651 Arthropathy of right temporomandibular joint
      M26.652 Arthropathy of left temporomandibular joint
      M26.653 Arthropathy of bilateral temporomandibular jo...
      M26.659 Arthropathy of unspecified temporomandibular ...
    - M26.69 Other specified disorders of temporomandibula...
  - M26.7 Dental alveolar anomalies
    - M26.70 Unspecified alveolar anomaly
    - M26.71 Alveolar maxillary hyperplasia
    - M26.72 Alveolar mandibular hyperplasia
    - M26.73 Alveolar maxillary hypoplasia
    - M26.74 Alveolar mandibular hypoplasia
    - M26.79 Other specified alveolar anomalies
  - M26.8 Other dentofacial anomalies
    - M26.81 Anterior soft tissue impingement
    - M26.82 Posterior soft tissue impingement
    - M26.89 Other dentofacial anomalies
  - M26.9 Dentofacial anomaly, unspecified
M26.-
)
syphilitic saddle nose (
ICD-10-CM Diagnosis Code A50.5
Other late congenital syphilis, symptomatic
Applicable To
- Any congenital syphilitic condition specified as late or manifest two years or more after birth.
A50.5
)

The following code(s) above Q67.4 contain annotation back-references

Annotation Back-References

In this context, annotation back-references refer to codes that contain:

Applicable To annotations, or
Code Also annotations, or
Code First annotations, or
Excludes1 annotations, or
Excludes2 annotations, or
Includes annotations, or
Note annotations, or
Use Additional annotations

that may be applicable to Q67.4:

Q00-Q99
2022 ICD-10-CM Range Q00-Q99
Congenital malformations, deformations and chromosomal abnormalities
Note
- Codes from this chapter are not for use on maternal records
Type 2 Excludes
- inborn errors of metabolism (E70-E88)
Congenital malformations, deformations and chromosomal abnormalities
Q67
ICD-10-CM Diagnosis Code Q67
Congenital musculoskeletal deformities of head, face, spine and chest
Type 1 Excludes
- congenital malformation syndromes classified to Q87.-
- Potter's syndrome (Q60.6)
Congenital musculoskeletal deformities of head, face, spine and chest

Approximate Synonyms

Asymmetric crying face association
Asymmetric crying facies
Brow asymmetry, congenital
Congenital asymmetry of forehead
Congenital brow asymmetry
Congenital deviation of nasal septum
Congenital facial asymmetry
Deviation of nasal septum, congenital
Facial asymmetry, congenital

Present On Admission

POA Help

"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.

Q67.4 is considered exempt from POA reporting.

ICD-10-CM Q67.4 is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):

564 Other musculoskeletal system and connective tissue diagnoses with mcc
565 Other musculoskeletal system and connective tissue diagnoses with cc
566 Other musculoskeletal system and connective tissue diagnoses without cc/mcc

Convert Q67.4 to ICD-9-CM

Code History

2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
2017 (effective 10/1/2016): No change
2018 (effective 10/1/2017): No change
2019 (effective 10/1/2018): No change
2020 (effective 10/1/2019): No change
2021 (effective 10/1/2020): No change
2022 (effective 10/1/2021): No change

Code annotations containing back-references to Q67.4:

Type 1 Excludes: Q18
, Q30
, J34.2
, Q75

ICD-10-CM Diagnosis Code Q18
Other congenital malformations of face and neck
Type 1 Excludes
- cleft lip and cleft palate (Q35-Q37)
- conditions classified to Q67.0-Q67.4
- congenital malformations of skull and face bones (Q75.-)
- cyclopia (Q87.0)
- dentofacial anomalies [including malocclusion] (M26.-)
- malformation syndromes affecting facial appearance (Q87.0)
- persistent thyroglossal duct (Q89.2)
ICD-10-CM Diagnosis Code Q30
Congenital malformations of nose
Type 1 Excludes
- congenital deviation of nasal septum (Q67.4)
ICD-10-CM Diagnosis Code J34.2
Deviated nasal septum
Applicable To
- Deflection or deviation of septum (nasal) (acquired)
Type 1 Excludes
- congenital deviated nasal septum (Q67.4)
ICD-10-CM Diagnosis Code Q75
Other congenital malformations of skull and face bones
Type 1 Excludes
- 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)

Diagnosis Index entries containing back-references to Q67.4:

Atrophy, atrophic (of)
- hemifacial Q67.4
Bent
- nose M95.0
  ICD-10-CM Diagnosis Code M95.0
  Acquired deformity of nose
  2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code
  Type 2 Excludes
  deviated nasal septum (J34.2)
  - congenital Q67.4
Deformity Q89.9
ICD-10-CM Diagnosis Code Q89.9
Congenital malformation, unspecified
Applicable To
Congenital anomaly NOS
Congenital deformity NOS
- nose (acquired) (cartilage) M95.0
  ICD-10-CM Diagnosis Code M95.0
  Acquired deformity of nose
  2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code
  Type 2 Excludes
  deviated nasal septum (J34.2)
  - congenital Q30.9
    ICD-10-CM Diagnosis Code Q30.9
    Congenital malformation of nose, unspecified
    2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code POA Exempt
    - bent or squashed Q67.4
Depression (acute) (mental) F32.A
ICD-10-CM Diagnosis Code F32.A
Depression, unspecified
Applicable To
Depression NOS
Depressive disorder NOS
- skull Q67.4
Deviation (in)
- nasal septum J34.2
  ICD-10-CM Diagnosis Code J34.2
  Deviated nasal septum
  2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code
  Applicable To
  Deflection or deviation of septum (nasal) (acquired)
  Type 1 Excludes
  congenital deviated nasal septum (Q67.4)
  - congenital Q67.4
- septum (nasal) (acquired) J34.2
  ICD-10-CM Diagnosis Code J34.2
  Deviated nasal septum
  2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code
  Applicable To
  Deflection or deviation of septum (nasal) (acquired)
  Type 1 Excludes
  congenital deviated nasal septum (Q67.4)
  - congenital Q67.4
Flattening
- nose (congenital) Q67.4
Friedreich's
- facial hemihypertrophy Q67.4
Hypertrophy, hypertrophic
- hemifacial Q67.4
Squashed nose M95.0
ICD-10-CM Diagnosis Code M95.0
Acquired deformity of nose
Type 2 Excludes
deviated nasal septum (J34.2)
- congenital Q67.4

ICD-10-CM Codes Adjacent To Q67.4

Q66.89 Other specified congenital deformities of feet

Q66.9 Congenital deformity of feet, unspecified

Q66.90 …… unspecified foot

Q66.91 …… right foot

Q66.92 …… left foot

Q67 Congenital musculoskeletal deformities of head, face, spine and chest

Q67.0 Congenital facial asymmetry

Q67.1 Congenital compression facies

Q67.2 Dolichocephaly

Q67.3 Plagiocephaly

Q67.4 Other congenital deformities of skull, face and jaw

Q67.5 Congenital deformity of spine

Q67.6 Pectus excavatum

Q67.7 Pectus carinatum

Q67.8 Other congenital deformities of chest

Q68 Other congenital musculoskeletal deformities

Q68.0 Congenital deformity of sternocleidomastoid muscle

Q68.1 Congenital deformity of finger(s) and hand

Q68.2 Congenital deformity of knee

Q68.3 Congenital bowing of femur

Q68.4 Congenital bowing of tibia and fibula

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

2022 ICD-10-CM Diagnosis Code Q67.4

Other congenital deformities of skull, face and jaw

Other late congenital syphilis, symptomatic

Congenital malformations, deformations and chromosomal abnormalities

Congenital musculoskeletal deformities of head, face, spine and chest

Other congenital malformations of face and neck

Congenital malformations of nose

Deviated nasal septum

Other congenital malformations of skull and face bones

Acquired deformity of nose

Congenital malformation, unspecified

Acquired deformity of nose

Congenital malformation of nose, unspecified

Depression, unspecified

Deviated nasal septum

Deviated nasal septum

Acquired deformity of nose