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

ICD-10 Q68.8

Billable / Specific

Other specified congenital musculoskeletal deformities

Q68
Block
8
Synonyms
173
LCDs
7
Payer Policies
0
Linked CPTs

About ICD-10-CM Q68.8

ICD-10-CM code Q68.8 represents Other specified congenital musculoskeletal deformities. This is a billable/specific code in the Congenital Malformations chapter (block Q68). The 2026 edition of ICD-10-CM Q68.8 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under Q68.8. Per CMS ICD-10-CM Tabular 2026.

  • Congenital deformity of clavicle
  • Congenital deformity of elbow
  • Congenital deformity of forearm
  • Congenital deformity of scapula
  • Congenital deformity of wrist
  • Congenital dislocation of elbow
  • Congenital dislocation of shoulder
  • Congenital dislocation of wrist

Medicare LCD Coverage for Q68.8

Local Coverage Determinations (LCDs) from CMS MACs that list Q68.8 as a covered diagnosis.

173 LCDs

Showing top 10 of 173 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Outpatient Occupational Therapy
Article ID: 53064, Effective: 2026-01-01 00:00:00, 8021 covered, 0 non-covered
CPT 29131 →
CMS LCD: Billing and Coding: Outpatient Occupational Therapy
Article ID: 53064, Effective: 2026-01-01 00:00:00, 8021 covered, 0 non-covered
CPT 29260 →
CMS LCD: Billing and Coding: Outpatient Occupational Therapy
Article ID: 53064, Effective: 2026-01-01 00:00:00, 8021 covered, 0 non-covered
CPT 97129 →
CMS LCD: Billing and Coding: Outpatient Occupational Therapy
Article ID: 53064, Effective: 2026-01-01 00:00:00, 8021 covered, 0 non-covered
CPT 97036 →
CMS LCD: Billing and Coding: Outpatient Occupational Therapy
Article ID: 53064, Effective: 2026-01-01 00:00:00, 8021 covered, 0 non-covered
CPT 97542 →
CMS LCD: Billing and Coding: Outpatient Occupational Therapy
Article ID: 53064, Effective: 2026-01-01 00:00:00, 8021 covered, 0 non-covered
CPT 97110 →
CMS LCD: Billing and Coding: Outpatient Occupational Therapy
Article ID: 53064, Effective: 2026-01-01 00:00:00, 8021 covered, 0 non-covered
CPT 97533 →
CMS LCD: Billing and Coding: Outpatient Occupational Therapy
Article ID: 53064, Effective: 2026-01-01 00:00:00, 8021 covered, 0 non-covered
CPT 29130 →
CMS LCD: Billing and Coding: Outpatient Occupational Therapy
Article ID: 53064, Effective: 2026-01-01 00:00:00, 8021 covered, 0 non-covered
CPT 29405 →
CMS LCD: Billing and Coding: Outpatient Occupational Therapy
Article ID: 53064, Effective: 2026-01-01 00:00:00, 8021 covered, 0 non-covered
CPT 92610 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Q68.8.

7 policies

4 Aetna

Orthopedic Casts, Braces and Splints - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0009
Chiropractic Services
Policy ID: CPB-0107
Wheelchairs and Power Operated Vehicles (Scooters)
Policy ID: CPB-0271
Ambulatory Assist Devices: Walkers, Canes, and Crutches
Policy ID: CPB-0505

3 Medicare

Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204

CPT Codes Commonly Billed with Q68.8

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

No procedure linkages on file for Q68.8

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 Q68.8 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
Q68.8 75551 10000
Q68.8 75552 10000
Q68.8 7569 10000

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

ICD-10 Q68.8, Billing FAQ

Is ICD-10 code Q68.8 billable? +

Yes, Q68.8 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 Q68.8? +

ICD-10 Q68.8 includes: Congenital deformity of clavicle; Congenital deformity of elbow; Congenital deformity of forearm, and 5 more clinical synonyms.

What ICD-9 codes does Q68.8 map to? +

Per CMS GEMs, Q68.8 maps to ICD-9 codes: 75551, 75552, 7569. 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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