L68 vs Q84

L68 (Hypertrichosis) compared with Q84 (Other congenital malformations of integument), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. L68 carries an Excludes1 note covering Q84: “congenital malformations of integument (Q84.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

	L68Hypertrichosis	Q84Other congenital malformations of integument
Billing status	Non-billable header Report instead: L68.0, L68.1, L68.2, L68.3, L68.8	Non-billable header Report instead: Q84.0, Q84.1, Q84.2, Q84.3, Q84.4
Classification	L00-L99 — Diseases of the Skin and Subcutaneous Tissue (L00-L99)	Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
Definition	Hypertrichosis is a non-billable ICD-10-CM category code (L68).	Other congenital malformations of integument is a non-billable ICD-10-CM category code (Q84).
Includes	excess hair	—

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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources