M21.0 vs Q66.4
M21.0 (Valgus deformity, not elsewhere classified) compared with Q66.4 (Congenital talipes calcaneovalgus), 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. M21.0 carries an Excludes1 note covering Q66.4: “talipes calcaneovalgus (Q66.4-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. M21.0 carries an Excludes1 note covering Q66.4: “congenital deformities and malformations of limbs (Q65-Q66, Q68-Q74)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. Q66.4 carries an Excludes1 note covering M21.0: “valgus deformities (acquired) (M21.0-)”
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
| M21.0Valgus deformity, not elsewhere classified | Q66.4Congenital talipes calcaneovalgus | |
|---|---|---|
| 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 | Valgus deformity, not elsewhere classified is a non-billable ICD-10-CM category code (M21.0). | Congenital talipes calcaneovalgus is a non-billable ICD-10-CM category code (Q66.4). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources