Q68.1 vs R68.3
Q68.1 (Congenital deformity of finger(s) and hand) compared with R68.3 (Clubbing of fingers), 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. R68.3 carries an Excludes1 note covering Q68.1: “congenital clubfinger (Q68.1)”
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
| Q68.1Congenital deformity of finger(s) and hand | R68.3Clubbing of fingers | |
|---|---|---|
| Billing status | Billable | 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 deformity of finger(s) and hand is a billable ICD-10-CM diagnosis code (Q68.1). | Clubbing of fingers is a billable ICD-10-CM diagnosis code (R68.3). |
| Includes | Congenital clubfinger Spade-like hand (congenital) | Clubbing of nails |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources