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M26 vs Q67.4

M26 (Dentofacial anomalies [including malocclusion]) compared with Q67.4 (Other congenital deformities of skull, face and jaw), 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. M26 carries an Excludes1 note covering Q67.4: “hemifacial atrophy or hypertrophy (Q67.4)”

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. Q67.4 carries an Excludes1 note covering M26: “dentofacial anomalies [including malocclusion] (M26.-)”

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

M26Dentofacial anomalies [including malocclusion]Q67.4Other congenital deformities of skull, face and jaw
Billing statusNon-billable header

Report instead: M26.00, M26.01, M26.02, M26.03, M26.04

Billable
ClassificationM00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
DefinitionDentofacial anomalies [including malocclusion] is a non-billable ICD-10-CM category code (M26).Other congenital deformities of skull, face and jaw is a billable ICD-10-CM diagnosis code (Q67.4).
Includes
Congenital depressions in skull
Congenital hemifacial atrophy or hypertrophy
Deviation of nasal septum, congenital
Squashed or bent nose, congenital

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