Q69 vs Q74

Q69 (Polydactyly) compared with Q74 (Other congenital malformations of limb(s)), 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 carries an Excludes1 note covering Q69: “polydactyly (Q69.-)”

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

	Q69Polydactyly	Q74Other congenital malformations of limb(s)
Billing status	Non-billable header Report instead: Q69.0, Q69.1, Q69.2, Q69.9	Non-billable header Report instead: Q74.0, Q74.1, Q74.2, Q74.3, Q74.8
Classification	Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)	Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
Definition	Polydactyly is a non-billable ICD-10-CM category code (Q69).	Other congenital malformations of limb(s) is a non-billable ICD-10-CM category code (Q74).

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