Q65 vs R29.4
Q65 (Congenital deformities of hip) compared with R29.4 (Clicking hip), 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. Q65 carries an Excludes1 note covering R29.4: “clicking hip (R29.4)”
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. R29.4 carries an Excludes1 note covering Q65: “congenital deformities of hip (Q65.-)”
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
| Q65Congenital deformities of hip | R29.4Clicking hip | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Congenital deformities of hip is a non-billable ICD-10-CM category code (Q65). | Clicking hip is a billable ICD-10-CM diagnosis code (R29.4). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources