Q74.1

Congenital malformation of knee

FY2027Chapter 17: Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders/Q65–Q79 Congenital malformations and deformations of the musculoskeletal system

BillableComplete code, valid to report

Q74.1 (also written Q741) is a billable ICD-10-CM diagnosis code for congenital malformation of knee. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 6 codes in category Q74 (Other congenital malformations of limb(s)). The Alphabetic Index lists it under 18 entries. Its coding notes include 6 Excludes1 entries and 1 Excludes2 entry.

Guidelines tip

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

Chapter 17 codes can be used for life. Manifestations that are an inherent part of a specifically coded anomaly are not coded separately. A corrected malformation is reported with a personal history code.

Guidelines I.C.17Congenital malformations and genetic disordersRead the official text

Excludes1

Not coded here. The listed conditions generally should not be reported together.

This code
  • congenital dislocation of knee (Q68.2)
  • congenital genu recurvatum (Q68.2)
  • nail patella syndrome (Q87.2)
Inherited from Q74 Other congenital malformations of limb
  • polydactyly (Q69.-)
  • reduction defect of limb (Q71-Q73)
  • syndactyly (Q70.-)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (1 note)
Inherited from Chapter 17 Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders
  • inborn errors of metabolism (E70-E88)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Other clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Inclusion terms

Conditions classified to this code.

This code
  • Congenital absence of patella
  • Congenital dislocation of patella
  • Congenital genu valgum
  • Congenital genu varum
  • Rudimentary patella

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 17 Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders
  • Codes from this chapter are not for use on maternal records

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 18 entries

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