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ICD-10-CM 2027

ICD-10 code for hemifacial atrophy

Q67.4

Other congenital deformities of skull, face and jaw

✓ Billable / specific

From the official ICD-10-CM alphabetic index entry “Atrophy, atrophic (of) › hemifacial”. Page updated September 29, 2026.

About coding hemifacial atrophy

The ICD-10-CM code for hemifacial atrophy is Q67.4 (Other congenital deformities of skull, face and jaw). The official index lists 1 more specific code, so check the documentation for details such as type, cause, site or severity before settling on Q67.4.

Within Q67, choose Q67.4 (Other congenital deformities of skull, face and jaw) only when documentation doesn't support a more specific option: congenital facial asymmetry (Q67.0), congenital compression facies (Q67.1), Dolichocephaly (Q67.2), Plagiocephaly (Q67.3), congenital deformity of spine (Q67.5), pectus excavatum (Q67.6), pectus carinatum (Q67.7) and other congenital deformities of chest (Q67.8).

Don't report Q67.4 together with the conditions in its Excludes1 note: dentofacial anomalies [including malocclusion] (M26.-) and syphilitic saddle nose (A50.5).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

More specific hemifacial atrophy codes (official index)

  • Romberg G51.8 — Other disorders of facial nerve

Don't confuse with (Excludes1 for Q67.4)

  • dentofacial anomalies [including malocclusion] (M26.-)
  • syphilitic saddle nose (A50.5)

Common questions about hemifacial atrophy ICD-10 codes

What is the ICD-10 code for hemifacial atrophy?

Q67.4 — Other congenital deformities of skull, face and jaw. More specific codes apply when the documentation supports them: G51.8.

What is the ICD-10 code for romberg hemifacial atrophy?

G51.8 — Other disorders of facial nerve.

Is Q67.4 billable?

Yes. Q67.4 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Q67.4 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict Q67.4 as a principal diagnosis.

Is Q67.4 a CC or MCC?

No. Q67.4 is neither a CC nor an MCC under MS-DRG v44.0.