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M20.02 vs Q72.3

M20.02 (Boutonnière deformity) compared with Q72.3 (Congenital absence of foot and toe(s)), 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 Q72.3: “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 deformityQ72.3Congenital absence of foot and toe(s)
Billing statusNon-billable headerNon-billable header
ClassificationM00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
DefinitionBoutonnière deformity is a non-billable ICD-10-CM category code (M20.02).Congenital absence of foot and toe(s) is a non-billable ICD-10-CM category code (Q72.3).

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