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Q65.89 vs Q74.2

Q65.89 (Other specified congenital deformities of hip) compared with Q74.2 (Other congenital malformations of lower limb(s), including pelvic girdle), 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. Q74.2 carries an Excludes1 note covering Q65.89: “anteversion of femur (neck) (Q65.89)”

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

Q65.89Other specified congenital deformities of hipQ74.2Other congenital malformations of lower limb(s), including pelvic girdle
Billing statusBillableBillable
ClassificationQ00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
DefinitionOther specified congenital deformities of hip is a billable ICD-10-CM diagnosis code (Q65.89).Other congenital malformations of lower limb(s), including pelvic girdle is a billable ICD-10-CM diagnosis code (Q74.2).
Includes
Anteversion of femoral neck
Congenital acetabular dysplasia
Congenital fusion of sacroiliac joint
Congenital malformation of ankle joint
Congenital malformation of sacroiliac joint

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