Is Q65 a billable ICD-10-CM code?

No. Q65 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Q65 sit in the tabular list?

Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations and deformations of the musculoskeletal system (Q65-Q79).

What cannot be coded together with Q65?

Q65 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

Q65

Q65 — Congenital deformities of hip

Non-billable headerICD-10-CM

Q65 is a non-billable header ICD-10-CM code for congenital deformities of hip. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

clicking hip (R29.4)

Other codes that can never be billed with Q65

These codes carry an Excludes1 note pointing at Q65. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q65 alone.

M21Other acquired deformities of limbs
M24.3Pathological dislocation of joint, not elsewhere classified
Q68.3Congenital bowing of femur
Q74.2Other congenital malformations of lower limb(s), including pelvic girdle
R29.4Clicking hip

Risk adjustment

Q65 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead Q65

9 child codes. Green means billable.

Questions about Q65

Is Q65 a billable ICD-10-CM code?: No. Q65 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Q65 sit in the tabular list?: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations and deformations of the musculoskeletal system (Q65-Q79).
What cannot be coded together with Q65?: Q65 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.