ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 Q65.6

Billable / Specific

Congenital unstable hip

Q65
Block
1
Synonyms
0
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM Q65.6

ICD-10-CM code Q65.6 represents Congenital unstable hip. This is a billable/specific code in the Congenital Malformations chapter (block Q65). The 2026 edition of ICD-10-CM Q65.6 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under Q65.6. Per CMS ICD-10-CM Tabular 2026.

  • Congenital dislocatable hip

Medicare LCD Coverage for Q65.6

Local Coverage Determinations (LCDs) from CMS MACs that list Q65.6 as a covered diagnosis.

No Medicare LCDs reference Q65.6 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Q65.6.

1 policies

1 Aetna

Orthopedic Casts, Braces and Splints - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0009

CPT Codes Commonly Billed with Q65.6

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for Q65.6

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert Q65.6 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
Q65.6 75432 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 Q65.6, Billing FAQ

Is ICD-10 code Q65.6 billable? +

Yes, Q65.6 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to Q65.6? +

ICD-10 Q65.6 includes: Congenital dislocatable hip.

What ICD-9 codes does Q65.6 map to? +

Per CMS GEMs, Q65.6 maps to ICD-9 codes: 75432. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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