M20.02 vs Q71.3
M20.02 (Boutonnière deformity) compared with Q71.3 (Congenital absence of hand and finger), 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. M20.02 carries an Excludes1 note covering Q71.3: “congenital absence of fingers and toes (Q71.3-, Q72.3-)”
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
| M20.02Boutonnière deformity | Q71.3Congenital absence of hand and finger | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) | Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99) |
| Definition | Boutonnière deformity is a non-billable ICD-10-CM category code (M20.02). | Congenital absence of hand and finger is a non-billable ICD-10-CM category code (Q71.3). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources