Q74.2 Other congenital malformations of lower limb(s), including pelvic girdle

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

Applicable to

• Congenital fusion of sacroiliac joint
• Congenital malformation of ankle joint
• Congenital malformation of sacroiliac joint

Excludes1 (never code together)

• anteversion of femur (neck) (Q65.89)

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)

• 755.65 Macrodactylia of toes (approximate)
• 755.69 Other anomalies of lower limb, including pelvic girdle (approximate)

Code annotations containing back-references to Q74.2

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 Q74.2

• Accessory (congenital) › sesamoid bones › foot
• Accessory (congenital) › tarsal bones
• Agenesis › pelvic girdle (complete) (partial)
• Android pelvis
• Angulation › femur (acquired) › congenital
• Angulation › tibia (acquired) › congenital
• Anomaly, anomalous (congenital) (unspecified type) › ankle (joint)
• Anomaly, anomalous (congenital) (unspecified type) › bone › leg
• Anomaly, anomalous (congenital) (unspecified type) › bone › pelvic girdle
• Anomaly, anomalous (congenital) (unspecified type) › femur NEC
• Anomaly, anomalous (congenital) (unspecified type) › fibula NEC
• Anomaly, anomalous (congenital) (unspecified type) › foot NEC
• Anomaly, anomalous (congenital) (unspecified type) › heel NEC
• Anomaly, anomalous (congenital) (unspecified type) › hip NEC
• Anomaly, anomalous (congenital) (unspecified type) › ilium NEC
• Anomaly, anomalous (congenital) (unspecified type) › ischium NEC
• Anomaly, anomalous (congenital) (unspecified type) › limb › lower NEC
• Anomaly, anomalous (congenital) (unspecified type) › lower limb NEC
• Anomaly, anomalous (congenital) (unspecified type) › metatarsus NEC
• Anomaly, anomalous (congenital) (unspecified type) › pelvic girdle NEC
• Anomaly, anomalous (congenital) (unspecified type) › pelvis (bony) NEC
• Anomaly, anomalous (congenital) (unspecified type) › sacroiliac (joint) NEC
• Anomaly, anomalous (congenital) (unspecified type) › tarsus NEC
• Anomaly, anomalous (congenital) (unspecified type) › thigh NEC
• Anomaly, anomalous (congenital) (unspecified type) › tibia NEC
• Anomaly, anomalous (congenital) (unspecified type) › toe
• Anthropoid pelvis
• Bifid (congenital) › toe NEC
• Deformity › ilium (acquired) › congenital
• Deformity › ischium (acquired) › congenital
• Deformity › pelvis, pelvic (acquired) (bony) › congenital
• Deformity › sacroiliac joint (congenital)
• Dislocation (articular) › sacroiliac (joint) (ligament) › congenital
• Displacement, displaced › sacro-iliac (joint) (congenital)
• Distortion (s) (congenital) › sacroiliac joint
• Dysplasia › leg
• Flat › pelvis › congenital
• Funnel › pelvis (acquired) › congenital
• Fusion, fused (congenital) › astragaloscaphoid
• Fusion, fused (congenital) › limb, congenital › lower
• Fusion, fused (congenital) › sacroiliac (joint) (acquired) › congenital
• Hallux › rigidus (acquired) › congenital
• Hypertrophy, hypertrophic › foot (congenital)
• Hypertrophy, hypertrophic › toe (congenital)
• Hypoplasia, hypoplastic › pelvis, pelvic girdle
• Macrodactylia, macrodactylism (fingers) (thumbs) › toes
• Maldevelopment › hip
• Maldevelopment › toe
• Male type pelvis
• Malformation (congenital) › joint › ankle

Nearby codes

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