October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

Q71 Reduction defects of upper limb

All 40 codes in the Q71 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

40

Can lead a claim

30

Cannot lead a claim

10

What CMS assigns to Q71

30 of the 40 codes group to MMTA - Other; 10 are assigned no clinical group. None of the 40 is assigned a comorbidity subgroup. 30 of the 40 can lead a claim.

Every code in Q71

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Q71.0 Congenital complete absence of upper limb
Q71.00Congenital complete absence of unspecified upper limbCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q71.01Congenital complete absence of right upper limbCan lead a claimANone
Q71.02Congenital complete absence of left upper limbCan lead a claimANone
Q71.03Congenital complete absence of upper limb, bilateralCan lead a claimANone
Q71.1 Congenital absence of upper arm and forearm with hand present
Q71.10Congenital absence of unspecified upper arm and forearm with hand presentCMS: Congen absence of unsp upper arm and forearm w hand presentCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q71.11Congenital absence of right upper arm and forearm with hand presentCMS: Congenital absence of r up arm and forearm w hand presentCan lead a claimANone
Q71.12Congenital absence of left upper arm and forearm with hand presentCMS: Congenital absence of l up arm and forearm w hand presentCan lead a claimANone
Q71.13Congenital absence of upper arm and forearm with hand present, bilateralCMS: Congen absence of upper arm and forearm w hand present, biCan lead a claimANone
Q71.2 Congenital absence of both forearm and hand
Q71.20Congenital absence of both forearm and hand, unspecified upper limbCMS: Congenital absence of both forearm and hand, unsp upper limbCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q71.21Congenital absence of both forearm and hand, right upper limbCMS: Congen absence of both forearm and hand, right upper limbCan lead a claimANone
Q71.22Congenital absence of both forearm and hand, left upper limbCan lead a claimANone
Q71.23Congenital absence of both forearm and hand, bilateralCan lead a claimANone
Q71.3 Congenital absence of hand and finger
Q71.30Congenital absence of unspecified hand and fingerCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q71.31Congenital absence of right hand and fingerCan lead a claimANone
Q71.32Congenital absence of left hand and fingerCan lead a claimANone
Q71.33Congenital absence of hand and finger, bilateralCan lead a claimANone
Q71.4 Longitudinal reduction defect of radius
Q71.40Longitudinal reduction defect of unspecified radiusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q71.41Longitudinal reduction defect of right radiusCan lead a claimANone
Q71.42Longitudinal reduction defect of left radiusCan lead a claimANone
Q71.43Longitudinal reduction defect of radius, bilateralCan lead a claimANone
Q71.5 Longitudinal reduction defect of ulna
Q71.50Longitudinal reduction defect of unspecified ulnaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q71.51Longitudinal reduction defect of right ulnaCan lead a claimANone
Q71.52Longitudinal reduction defect of left ulnaCan lead a claimANone
Q71.53Longitudinal reduction defect of ulna, bilateralCan lead a claimANone
Q71.6 Lobster-claw hand
Q71.60Lobster-claw hand, unspecified handCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q71.61Lobster-claw right handCan lead a claimANone
Q71.62Lobster-claw left handCan lead a claimANone
Q71.63Lobster-claw hand, bilateralCan lead a claimANone
Q71.8 Other reduction defects of upper limb
Q71.81 Congenital shortening of upper limb
Q71.811Congenital shortening of right upper limbCan lead a claimANone
Q71.812Congenital shortening of left upper limbCan lead a claimANone
Q71.813Congenital shortening of upper limb, bilateralCan lead a claimANone
Q71.819Congenital shortening of unspecified upper limbCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q71.89 Other reduction defects of upper limb
Q71.891Other reduction defects of right upper limbCan lead a claimANone
Q71.892Other reduction defects of left upper limbCan lead a claimANone
Q71.893Other reduction defects of upper limb, bilateralCan lead a claimANone
Q71.899Other reduction defects of unspecified upper limbCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q71.9 Unspecified reduction defect of upper limb
Q71.90Unspecified reduction defect of unspecified upper limbCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q71.91Unspecified reduction defect of right upper limbCan lead a claimANone
Q71.92Unspecified reduction defect of left upper limbCan lead a claimANone
Q71.93Unspecified reduction defect of upper limb, bilateralCan lead a claimANone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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