ICD-10 Q67
Non-Billable HeaderCongenital musculoskeletal deformities of head, face, spine and chest
About ICD-10-CM Q67
ICD-10-CM code Q67 represents Congenital musculoskeletal deformities of head, face, spine and chest. This is a non-billable header code in the Congenital Malformations chapter (block Q67). The 2026 edition of ICD-10-CM Q67 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with Q67. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- congenital malformation syndromes classified to Q87.-
- Potter's syndrome (Q60.6)
Medicare LCD Coverage for Q67
Local Coverage Determinations (LCDs) from CMS MACs that list Q67 as a covered diagnosis.
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 Q67.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Q67 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Q67
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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.
Codes Adjacent To Q67
Other codes in section Q65-Q79 (Congenital malformations and deformations of the musculoskeletal system).
ICD-10 Q67, Billing FAQ
Is ICD-10 code Q67 billable? +
No, Q67 is a non-billable header code. Use a more specific child code from block Q67 when submitting claims.
What codes are Type 1 Excludes for Q67? +
Type 1 Excludes (never code together with Q67): congenital malformation syndromes classified to Q87.-; Potter's syndrome (Q60.6)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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