Skip to content
Dx

ICD-10-CM 2027

ICD-10 code for Megalodactylia

Q74.0

Other congenital malformations of upper limb(s), including shoulder girdle

✓ Billable / specific

From the official ICD-10-CM alphabetic index entry “Megalodactylia (fingers) (thumbs) (congenital)”. Page updated September 29, 2026.

About coding Megalodactylia

The ICD-10-CM code for Megalodactylia is Q74.0 (Other congenital malformations of upper limb(s), including shoulder girdle). The official index lists 1 more specific code, so check the documentation for details such as type, cause, site or severity before settling on Q74.0.

Within Q74, choose Q74.0 (Other congenital malformations of upper limb(s), including shoulder girdle) only when documentation doesn't support a more specific option: congenital malformation of knee (Q74.1), other congenital malformations of lower limb(s), including pelvic girdle (Q74.2), Arthrogryposis multiplex congenita (Q74.3), other specified congenital malformations of limb(s) (Q74.8) and unspecified congenital malformation of limb(s) (Q74.9).

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

In MS-DRG v44.0, it is part of the grouping logic for DRG 564 (Other Musculoskeletal System and Connective Tissue Diagnoses with MCC, relative weight 1.4908), DRG 565 (Other Musculoskeletal System and Connective Tissue Diagnoses with CC, relative weight 0.9783) and DRG 566 (Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC, relative weight 0.7378), in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

More specific Megalodactylia codes (official index)

  • toes Q74.2 — Other congenital malformations of lower limb(s), including pelvic girdle

Common questions about Megalodactylia ICD-10 codes

What is the ICD-10 code for Megalodactylia?

Q74.0 — Other congenital malformations of upper limb(s), including shoulder girdle. More specific codes apply when the documentation supports them: Q74.2.

What is the ICD-10 code for toes megalodactylia?

Q74.2 — Other congenital malformations of lower limb(s), including pelvic girdle.

Is Q74.0 billable?

Yes. Q74.0 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Q74.0 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict Q74.0 as a principal diagnosis.

Is Q74.0 a CC or MCC?

No. Q74.0 is neither a CC nor an MCC under MS-DRG v44.0.