Q71.90 ICD-10-CM Code: Unspecified reduction defect of unspecified upper limb
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 564 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC (MDC 08)
- MS-DRG 565 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC (MDC 08)
- MS-DRG 566 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC (MDC 08)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionUnspecified reduction defect of unspecified upper limb
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
Other codes that name Q71.90 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 4 Excludes1 notes across 3 chapters: M21 — Other acquired deformities of limbs (via Q71.-), Q68 — Other congenital musculoskeletal deformities (via Q71.-), Q74 — Other congenital malformations of limb(s) (via Q71.-), Z89 — Acquired absence of limb (via Q71.-).
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
MS-DRG Grouper Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Potential MS-DRG participation — not a DRG assignment.
Named in the grouper logic of 3 MS-DRGs: DRG 564 (MDC 08), DRG 565 (MDC 08), DRG 566 (MDC 08).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):MAL008 — Musculoskeletal congenital conditions (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Musculoskeletal congenital conditions).
Q71.62 — Lobster-claw left hand, Q71.63 — Lobster-claw hand, bilateral, Q71.811 — Congenital shortening of right upper limb, Q71.812 — Congenital shortening of left upper limb, Q71.813 — Congenital shortening of upper limb, bilateral, Q71.819 — Congenital shortening of unspecified upper limb, Q71.891 — Other reduction defects of right upper limb, Q71.892 — Other reduction defects of left upper limb, Q71.893 — Other reduction defects of upper limb, bilateral, Q71.899 — Other reduction defects of unspecified upper limb, Q71.91 — Unspecified reduction defect of right upper limb, Q71.92 — Unspecified reduction defect of left upper limb, Q71.93 — Unspecified reduction defect of upper limb, bilateral, Q72.00 — Congenital complete absence of unspecified lower limb, Q72.01 — Congenital complete absence of right lower limb, Q72.02 — Congenital complete absence of left lower limb, Q72.03 — Congenital complete absence of lower limb, bilateral, Q72.10 — Congenital absence of unspecified thigh and lower leg with foot present, Q72.11 — Congenital absence of right thigh and lower leg with foot present, Q72.12 — Congenital absence of left thigh and lower leg with foot present, +245 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Defect, defective”; these codes share that main term but sit in a different category of the Tabular List.
Q21.9 — Congenital malformation of cardiac septum, unspecified (septal NOS), Q27.9 — Congenital malformation of peripheral vascular system, unspecified (vascular, congenital), Q28.9 — Congenital malformation of circulatory system, unspecified (circulation, newborn), Q34.9 — Congenital malformation of respiratory system, unspecified (respiratory system, congenital), Q39.9 — Congenital malformation of esophagus, unspecified (esophagus, congenital), Q62.2 — Congenital megaureter (obstructive, congenital, ureter, megaureter), Q62.31 — Congenital ureterocele, orthotopic (obstructive, congenital, ureter, orthotopic ureterocele), Q62.32 — Cecoureterocele (obstructive, congenital, ureter, cecoureterocele), Q62.39 — Other obstructive defects of renal pelvis and ureter (renal pelvis, obstructive), Q63.8 — Other specified congenital malformations of kidney (renal pelvis), Q72.4 — Longitudinal reduction defect of femur (reduction, limb, lower, longitudinal, femur), Q72.5 — Longitudinal reduction defect of tibia (reduction, limb, lower, longitudinal, tibia), Q72.6 — Longitudinal reduction defect of fibula (reduction, limb, lower, longitudinal, fibula), Q72.7 — Split foot (reduction, limb, lower, split foot), Q72.89 — Other reduction defects of lower limb (reduction, limb, lower, specified type NEC), Q72.9 — Unspecified reduction defect of lower limb (reduction, limb, lower), Q73.8 — Other reduction defects of unspecified limb(s) (reduction, limb), Q79.0 — Congenital diaphragmatic hernia (diaphragm, congenital, gross), Q79.1 — Other congenital malformations of diaphragm (diaphragm, congenital), Q79.59 — Other congenital malformations of abdominal wall (abdominal wall, congenital), +96 more
Contextual Map
Every relationship of Q71.90 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
Referenced by Excludes1 notes
- M21 — Other acquired deformities of limbs[Excludes1](via Q71.-): “congenital absence of limbs (Q71-Q73)” · Check Q71.90 + M21 together
- Q68 — Other congenital musculoskeletal deformities[Excludes1](via Q71.-): “reduction defects of limb(s) (Q71-Q73)” · Check Q71.90 + Q68 together
- Q74 — Other congenital malformations of limb(s)[Excludes1](via Q71.-): “reduction defect of limb (Q71-Q73)” · Check Q71.90 + Q74 together
- Z89 — Acquired absence of limb[Excludes1](via Q71.-): “congenital absence of limbs (Q71-Q73)” · Check Q71.90 + Z89 together
Clinical classification (CCSR)
MS-DRG Grouper
- DRG 564 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC[MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC (MDC 08)”
- DRG 565 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC[MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC (MDC 08)”
- DRG 566 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC[MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC (MDC 08)”
MDC crossing
- MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue[MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 18,508 same-MDC procedures group here; browse them on the MDC page.”
Nearest codes (40)
- Q71 — Reduction defects of upper limb[Sibling]
- Q71.2 — Congenital absence of both forearm and hand[Sibling]
- Q71.20 — Congenital absence of both forearm and hand, unspecified upper limb[Sibling]
- Q71.21 — Congenital absence of both forearm and hand, right upper limb[Sibling]
- Q71.22 — Congenital absence of both forearm and hand, left upper limb[Sibling]
- Q71.23 — Congenital absence of both forearm and hand, bilateral[Sibling]
- Q71.3 — Congenital absence of hand and finger[Sibling]
- Q71.30 — Congenital absence of unspecified hand and finger[Sibling]
- and 32 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]
Nearest Codes in This Family
Official ICD-10-CM classifications closest to Q71.90 in its code family, with their registry titles.
- Q71.813 — Congenital shortening of upper limb, bilateral
- Q71.819 — Congenital shortening of unspecified upper limb
- Q71.89 — Other reduction defects of upper limb
- Q71.891 — Other reduction defects of right upper limb
- Q71.892 — Other reduction defects of left upper limb
- Q71.893 — Other reduction defects of upper limb, bilateral
- Q71.899 — Other reduction defects of unspecified upper limb
- Q71.9 — Unspecified reduction defect of upper limb
- Q71.91 — Unspecified reduction defect of right upper limb
- Q71.92 — Unspecified reduction defect of left upper limb