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

ICD-10 Q67.3

Billable / Specific

Plagiocephaly

Q67
Block
0
Synonyms
144
LCDs
3
Payer Policies
0
Linked CPTs

About ICD-10-CM Q67.3

ICD-10-CM code Q67.3 represents Plagiocephaly. This is a billable/specific code in the Congenital Malformations chapter (block Q67). The 2026 edition of ICD-10-CM Q67.3 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with Q67.3. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • coronal craniosynostosis (Q75.02-)
  • lambdoid craniosynostosis (Q75.04-)

Medicare LCD Coverage for Q67.3

Local Coverage Determinations (LCDs) from CMS MACs that list Q67.3 as a covered diagnosis.

144 LCDs

Showing top 10 of 144 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21121 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21145 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 19371 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21138 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21244 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21209 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21089 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21249 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 30462 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21182 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Q67.3.

3 policies

2 Medicare

Billing and Coding: Cosmetic and Reconstructive Surgery
Policy ID: ART-56658
Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204

1 Aetna

Cranial Remodeling
Policy ID: CPB-0379

CPT Codes Commonly Billed with Q67.3

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

No procedure linkages on file for Q67.3

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 Q67.3 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
Q67.3 7540 10000

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

ICD-10 Q67.3, Billing FAQ

Is ICD-10 code Q67.3 billable? +

Yes, Q67.3 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for Q67.3? +

Type 1 Excludes (never code together with Q67.3): coronal craniosynostosis (Q75.02-); lambdoid craniosynostosis (Q75.04-)

What ICD-9 codes does Q67.3 map to? +

Per CMS GEMs, Q67.3 maps to ICD-9 codes: 7540. 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 June 1, 2026.

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