Q74.0 Other congenital malformations of upper limb(s), including shoulder girdle

The ICD-10-CM code for Other congenital malformations of upper limb(s), including shoulder girdle is Q74.0 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

17: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0)

Section

Q65-Q79: Congenital malformations and deformations of the musculoskeletal system (Q65-Q79)

Category Q74

7 codes (6 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to Q74.0:

• Cleidocranial dysostosis
• Triphalangeal thumb
• Craniocleidodysostosis
• Sprengel's deformity (congenital)
• Megalodactylia (fingers) (thumbs) (congenital)
• Macrodactylia, macrodactylism (fingers) (thumbs)
• Accessory (congenital) › carpal bones
• Accessory (congenital) › navicular of carpus

Inclusion Terms

• Accessory carpal bones
• Cleidocranial dysostosis
• Congenital pseudarthrosis of clavicle
• Macrodactylia (fingers)
• Madelung's deformity
• Radioulnar synostosis
• Sprengel's deformity
• Triphalangeal thumb

U.S. Hospital Utilization

• An estimated 1,745 U.S. inpatient stays in 2023 included Q74.0 among the documented diagnoses.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

POA indicator for congenital conditions/anomalies and Q00-Q99 exception

Congenital conditions and anomalies Assign “Y” for congenital conditions and anomalies except for categories Q00- Q99, Congenital anomalies, which are on the exempt list. Congenital conditions are always considered present on admission.

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)