Q74.0 Other congenital malformations of upper limb(s), including shoulder girdle

Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.

Applicable to

• Accessory carpal bones
• Cleidocranial dysostosis
• Congenital pseudarthrosis of clavicle
• Macrodactylia (fingers)
• Madelung's deformity
• Radioulnar synostosis
• Sprengel's deformity
• Triphalangeal thumb

Applies from Q74 Other congenital malformations of limb(s)

Excludes1 (never code together)

• polydactyly (Q69.-)
• reduction defect of limb (Q71-Q73)
• syndactyly (Q70.-)

MS-DRG index

Defines the logic of DRG(s) 564-566 in MDC 08.

Approximate ICD-9-CM (GEMs)

• 755.53 Radioulnar synostosis (approximate)
• 755.54 Madelung's deformity (approximate)
• 755.56 Accessory carpal bones (approximate)
• 755.57 Macrodactylia (fingers) (approximate)
• 755.59 Other anomalies of upper limb, including shoulder girdle (approximate)

Code annotations containing back-references to Q74.0

Back-references to Q74

• Type 1 Excludes: M20 Acquired deformities of fingers and toes ("congenital deformities and malformations of fingers and toes (Q66.-, Q68-Q70, Q74.-)")
• Type 1 Excludes: M21 Other acquired deformities of limbs ("congenital deformities and malformations of limbs (Q65-Q66, Q68-Q74)")
• Type 1 Excludes: M24.3 Pathological dislocation of joint, not elsewhere classified ("congenital dislocation or displacement of joint- see congenital malformations and deformations of the musculoskeletal system (Q65-Q79)")
• Type 2 Excludes: M95 Other acquired deformities of musculoskeletal system and connective tissue ("congenital malformations and deformations of the musculoskeletal system (Q65-Q79)")

Diagnosis Index entries for Q74.0

• Accessory (congenital) › carpal bones
• Accessory (congenital) › navicular of carpus
• Accessory (congenital) › sesamoid bones › hand
• Agenesis › clavicle
• Agenesis › scapula
• Agenesis › shoulder girdle (complete) (partial)
• Angulation › wrist (acquired) › congenital
• Anomaly, anomalous (congenital) (unspecified type) › arm
• Anomaly, anomalous (congenital) (unspecified type) › bone › arm
• Anomaly, anomalous (congenital) (unspecified type) › bone › shoulder girdle
• Anomaly, anomalous (congenital) (unspecified type) › carpus
• Anomaly, anomalous (congenital) (unspecified type) › clavicle
• Anomaly, anomalous (congenital) (unspecified type) › elbow
• Anomaly, anomalous (congenital) (unspecified type) › finger
• Anomaly, anomalous (congenital) (unspecified type) › forearm
• Anomaly, anomalous (congenital) (unspecified type) › hand
• Anomaly, anomalous (congenital) (unspecified type) › humerus
• Anomaly, anomalous (congenital) (unspecified type) › limb › upper
• Anomaly, anomalous (congenital) (unspecified type) › metacarpus
• Anomaly, anomalous (congenital) (unspecified type) › radius
• Anomaly, anomalous (congenital) (unspecified type) › scapula
• Anomaly, anomalous (congenital) (unspecified type) › shoulder (girdle) (joint)
• Anomaly, anomalous (congenital) (unspecified type) › thumb
• Anomaly, anomalous (congenital) (unspecified type) › ulna
• Anomaly, anomalous (congenital) (unspecified type) › upper limb
• Anomaly, anomalous (congenital) (unspecified type) › wrist (joint)
• Biparta, bipartite › carpal scaphoid
• Cleidocranial dysostosis
• Craniocleidodysostosis
• Curvature › radius, idiopathic, progressive (congenital)
• Deformity › humerus (acquired) › congenital
• Deformity › Madelung's (radius)
• Deformity › metacarpus (acquired) › congenital
• Deformity › shoulder (joint) (acquired) › congenital
• Deformity › Sprengel's (congenital)
• Distortion (s) (congenital) › clavicle
• Distortion (s) (congenital) › scapula
• Distortion (s) (congenital) › shoulder girdle
• Dysostosis › cleidocranial, cleidocranialis
• Elevated, elevation › scapula, congenital
• Fusion, fused (congenital) › limb, congenital › upper
• Hypoplasia, hypoplastic › clavicle (congenital)
• Hypoplasia, hypoplastic › scapula
• Hypoplasia, hypoplastic › shoulder girdle
• Macrodactylia, macrodactylism (fingers) (thumbs)
• Madelung's › deformity (radius)
• Madelung's › disease › radial deformity
• Mallet finger (acquired) › congenital
• Malposition › congenital › clavicle
• Malposition › congenital › scapula

Nearby codes

• Q74 Other congenital malformations of limb(s)
• Q74.0 Other congenital malformations of upper limb(s), including shoulder girdle (this code)
• Q74.1 Congenital malformation of knee
• Q74.2 Other congenital malformations of lower limb(s), including pelvic girdle
• Q74.3 Arthrogryposis multiplex congenita
• Q74.8 Other specified congenital malformations of limb(s)
• Q74.9 Unspecified congenital malformation of limb(s)