2019 ICD-10-CM Diagnosis Code Q74.0

Other congenital malformations of upper limb(s), including shoulder girdle

    2016 2017 2018 2019 Billable/Specific Code POA Exempt
  • Q74.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Oth congen malform of upper limb(s), inc shoulder girdle
  • The 2019 edition of ICD-10-CM Q74.0 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of Q74.0 - other international versions of ICD-10 Q74.0 may differ.
Applicable To
  • Accessory carpal bones
  • Cleidocranial dysostosis
  • Congenital pseudarthrosis of clavicle
  • Macrodactylia (fingers)
  • Madelung's deformity
  • Radioulnar synostosis
  • Sprengel's deformity
  • Triphalangeal thumb
The following code(s) above Q74.0 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 Q74.0:
  • Q00-Q99
    2019 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
  • Q74
    ICD-10-CM Diagnosis Code Q74

    Other congenital malformations of limb(s)

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Other congenital malformations of limb(s)
Approximate Synonyms
  • Accessory bilateral carpal bones
  • Accessory carpal bones
  • Accessory left carpal bones
  • Accessory right carpal bones
  • Bilateral accessory carpal bones
  • Bilateral camptodactyly
  • Bilateral clinodactyly
  • Bilateral congenital clinodactyly
  • Bilateral radioulnar synostosis
  • Camptodactyly
  • Camptodactyly of bilateral hands
  • Camptodactyly of left hand
  • Camptodactyly of right hand
  • Cleidocranial dysostosis
  • Clinodactyly
  • Congenital abnormal fusion of bilateral carpal bones
  • Congenital abnormal fusion of carpal bone
  • Congenital abnormal fusion of left carpal bones
  • Congenital abnormal fusion of right carpal bones
  • Congenital absence of soft tissue of fingertip
  • Congenital bilateral carpal coalition
  • Congenital bilateral finger tip soft tissue loss
  • Congenital bilateral glenoid dysplasia
  • Congenital bilateral trigger fingers
  • Congenital bilateral trigger thumbs
  • Congenital carpal coalition
  • Congenital clinodactyly
  • Congenital dysplasia of bilateral upper limbs
  • Congenital elevation of bilateral scapula
  • Congenital elevation of bilateral scapulae
  • Congenital elevation of left scapula
  • Congenital elevation of left shoulder blade
  • Congenital elevation of right scapula
  • Congenital elevation of right shoulder blade
  • Congenital finger tip soft tissue loss
  • Congenital glenoid dysplasia
  • Congenital hypoplasia of ulna
  • Congenital left carpal coalition
  • Congenital left finger tip soft tissue loss
  • Congenital left glenoid dysplasia
  • Congenital left trigger finger
  • Congenital left trigger thumb
  • Congenital mallet finger of left hand
  • Congenital mallet finger of right hand
  • Congenital right carpal coalition
  • Congenital right finger tip soft tissue loss
  • Congenital right glenoid dysplasia
  • Congenital right trigger finger
  • Congenital right trigger thumb
  • Congenital trigger finger and trigger thumb
  • Congenital trigger finger of bilateral hands
  • Congenital trigger finger of left hand
  • Congenital trigger finger of right hand
  • Congenital trigger thumb of bilateral hands
  • Congenital trigger thumb of left hand
  • Congenital trigger thumb of right hand
  • Congenital ulnar negative variant of bilateral wrists
  • Congenital ulnar negative variant of left wrist
  • Congenital ulnar negative variant of right wrist
  • Congenital ulnar negative variant wrist
  • Congenital ulnar positive variant of bilateral wrists
  • Congenital ulnar positive variant of left wrist
  • Congenital ulnar positive variant of right wrist
  • Congenital ulnar positive variant of wrist
  • Congenital ulnar positive variant wrist
  • Dysplasia of bilateral arms
  • Glenoid dysplasia of bilateral scapulae
  • Glenoid dysplasia of left scapula
  • Glenoid dysplasia of right scapula
  • Left camptodactyly
  • Left clinodactyly
  • Left congenital clinodactyly
  • Left radioulnar synostosis
  • Macrodactylia of fingers
  • Macrodactyly fingers
  • Macrodactyly of bilateral fingers
  • Macrodactyly of left finger
  • Macrodactyly of right finger
  • Madelung's deformity
  • Madelungs deformity
  • Radioulnar synostosis
  • Right camptodactyly
  • Right clinodactyly
  • Right congenital clinodactyly
  • Right radioulnar synostosis
Clinical Information
  • A congenital disorder of bone formation with clavicular hypoplasia or agenesis with a narrow thorax, allowing approximation the shoulders in front of the chest occurring with delayed ossification of the skull, excessively large fontanelles, and delayed closing of the sutures. The fontanelles may remain open until adulthood, but the sutures often close with interposition of wormian bones. Bosses of the frontal, parietal, and occipital regions give the skull a large globular shape with small face. The characteristic skull abnormalities are sometimes referred to as the "arnold head" named after the descendants of a chinese who settled in south africa and changed his name to arnold. More than 100 additional anomalies may be associated, including wide pubic symphysis, dental abnormalities, short middle phalanges of the fifth fingers, delayed skeletal maturation, hearing deficiency, and mild mental retardation in some cases.
  • A rare autosomal dominant disorder caused by mutations in the runx2 gene. It is characterized by developmental abnormalities in the bones and teeth, including the complete or partial absence of the clavicles, delayed closure of the fontanels, protruding mandible, hypertelorism, scoliosis, and short stature.
  • Autosomal dominant syndrome in which there is delayed closing of the cranial fontanelles; complete or partial absence of the collarbones (clavicles); wide pubic symphysis; short middle phalanges of the fifth fingers; and dental and vertebral anomalies.
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.
  • Q74.0 is considered exempt from POA reporting.
ICD-10-CM Q74.0 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 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 Q74.0 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

Diagnosis Index entries containing back-references to Q74.0:
  • Accessory (congenital)
    • sesamoid bones Q74.8
      ICD-10-CM Diagnosis Code Q74.8

      Other specified congenital malformations of limb(s)

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • hand Q74.0
    • carpal bones Q74.0
    • navicular of carpus Q74.0
  • Agenesis
    • clavicle Q74.0
    • scapula Q74.0
    • shoulder girdle Q74.0 (complete) (partial)
  • Angulation
    • wrist (acquired) - see also Deformity, limb, specified type NEC, forearm
      • congenital Q74.0
  • Anomaly, anomalous (congenital) (unspecified type) Q89.9
    ICD-10-CM Diagnosis Code Q89.9

    Congenital malformation, unspecified

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Applicable To
    • Congenital anomaly NOS
    • Congenital deformity NOS
    • bone Q79.9
      ICD-10-CM Diagnosis Code Q79.9

      Congenital malformation of musculoskeletal system, unspecified

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of musculoskeletal system NOS
      • Congenital deformity of musculoskeletal system NOS
      • arm Q74.0
      • shoulder girdle Q74.0
    • limb Q74.9
      ICD-10-CM Diagnosis Code Q74.9

      Unspecified congenital malformation of limb(s)

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of limb(s) NOS
      • upper Q74.0
    • arm Q74.0
    • carpus Q74.0
    • clavicle Q74.0
    • elbow Q74.0
    • finger Q74.0
    • forearm Q74.0
    • hand Q74.0
    • humerus Q74.0
    • metacarpus Q74.0
    • radius Q74.0
    • scapula Q74.0
    • shoulder Q74.0 (girdle) (joint)
    • thumb Q74.0
    • ulna Q74.0
    • upper limb Q74.0
    • wrist Q74.0 (joint)
  • Biparta, bipartite
    • carpal scaphoid Q74.0
  • Cleidocranial dysostosis Q74.0
  • Craniocleidodysostosis Q74.0
  • Curvature
    • radius, idiopathic, progressive Q74.0 (congenital)
  • Deformity Q89.9
    ICD-10-CM Diagnosis Code Q89.9

    Congenital malformation, unspecified

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Applicable To
    • Congenital anomaly NOS
    • Congenital deformity NOS
  • Distortion(s) (congenital)
    • clavicle Q74.0
    • scapula Q74.0
    • shoulder girdle Q74.0
  • Dysostosis
    • cleidocranial, cleidocranialis Q74.0
  • Elevated, elevation
    • scapula, congenital Q74.0
  • Fusion, fused (congenital)
    • limb, congenital Q74.8
      ICD-10-CM Diagnosis Code Q74.8

      Other specified congenital malformations of limb(s)

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • upper Q74.0
  • Hypoplasia, hypoplastic
    • clavicle Q74.0 (congenital)
    • scapula Q74.0
    • shoulder girdle Q74.0
  • Macrodactylia, macrodactylism (fingers) (thumbs) Q74.0
  • Madelung's
    • disease
      • radial deformity Q74.0
    • deformity Q74.0 (radius)
  • Main en griffe (acquired) - see also Deformity, limb, clawhand
    • congenital Q74.0
  • Mallet finger (acquired) - see Deformity, finger, mallet finger
    • congenital Q74.0
  • Malposition
    • congenital
      • clavicle Q74.0
      • scapula Q74.0
      • shoulder Q74.0
  • Megalodactylia (fingers) (thumbs) (congenital) Q74.0
  • Pseudarthrosis, pseudoarthrosis (bone) - see Nonunion, fracture
    • clavicle, congenital Q74.0
  • Sprengel's deformity Q74.0 (congenital)
  • Supernumerary (congenital)
    • carpal bones Q74.0
  • Synostosis (congenital) Q78.8
    ICD-10-CM Diagnosis Code Q78.8

    Other specified osteochondrodysplasias

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Applicable To
    • Osteopoikilosis
    • radioulnar Q74.0
  • Trigger finger (acquired) M65.30
    ICD-10-CM Diagnosis Code M65.30

    Trigger finger, unspecified finger

      2016 2017 2018 2019 Billable/Specific Code
    • congenital Q74.0
  • Triphalangeal thumb Q74.0

ICD-10-CM Codes Adjacent To Q74.0
Q72.9 Unspecified reduction defect of lower limb
Q72.90 Unspecified reduction defect of unspecified lower limb
Q72.91 Unspecified reduction defect of right lower limb
Q72.92 Unspecified reduction defect of left lower limb
Q72.93 …… bilateral
Q73 Reduction defects of unspecified limb
Q73.0 Congenital absence of unspecified limb(s)
Q73.1 Phocomelia, unspecified limb(s)
Q73.8 Other reduction defects of unspecified limb(s)
Q74 Other congenital malformations of limb(s)
Q74.0 Other congenital malformations of upper limb(s), including shoulder girdle
Q74.1 Congenital malformation of knee
Q74.2 Other congenital malformations of lower limb(s), including pelvic girdle
Q74.3 Arthrogryposis multiplex congenita
Q74.8 Other specified congenital malformations of limb(s)
Q74.9 Unspecified congenital malformation of limb(s)
Q75 Other congenital malformations of skull and face bones
Q75.0 Craniosynostosis
Q75.1 Craniofacial dysostosis
Q75.2 Hypertelorism
Q75.3 Macrocephaly

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