ICD-10 · PDGM grouping
Q72 Reduction defects of lower limb
All 44 codes in the Q72 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.
Codes in family
44
Can lead a claim
33
Cannot lead a claim
11
What CMS assigns to Q72
33 of the 44 codes group to MMTA - Other; 11 are assigned no clinical group. None of the 44 is assigned a comorbidity subgroup. 33 of the 44 can lead a claim.
Every code in Q72
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| Q72.0 Congenital complete absence of lower limb | ||||
| Q72.00 | Congenital complete absence of unspecified lower limb | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Q72.01 | Congenital complete absence of right lower limb | Can lead a claim | A | None |
| Q72.02 | Congenital complete absence of left lower limb | Can lead a claim | A | None |
| Q72.03 | Congenital complete absence of lower limb, bilateral | Can lead a claim | A | None |
| Q72.1 Congenital absence of thigh and lower leg with foot present | ||||
| Q72.10 | Congenital absence of unspecified thigh and lower leg with foot presentCMS: Congen absence of unsp thigh and lower leg w foot present | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Q72.11 | Congenital absence of right thigh and lower leg with foot presentCMS: Congen absence of right thigh and lower leg w foot present | Can lead a claim | A | None |
| Q72.12 | Congenital absence of left thigh and lower leg with foot presentCMS: Congen absence of left thigh and lower leg w foot present | Can lead a claim | A | None |
| Q72.13 | Congenital absence of thigh and lower leg with foot present, bilateralCMS: Congen absence of thigh and lower leg w foot present, bi | Can lead a claim | A | None |
| Q72.2 Congenital absence of both lower leg and foot | ||||
| Q72.20 | Congenital absence of both lower leg and foot, unspecified lower limbCMS: Congen absence of both lower leg and foot, unsp lower limb | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Q72.21 | Congenital absence of both lower leg and foot, right lower limbCMS: Congen absence of both lower leg and foot, right lower limb | Can lead a claim | A | None |
| Q72.22 | Congenital absence of both lower leg and foot, left lower limbCMS: Congen absence of both lower leg and foot, left lower limb | Can lead a claim | A | None |
| Q72.23 | Congenital absence of both lower leg and foot, bilateral | Can lead a claim | A | None |
| Q72.3 Congenital absence of foot and toe(s) | ||||
| Q72.30 | Congenital absence of unspecified foot and toe(s) | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Q72.31 | Congenital absence of right foot and toe(s) | Can lead a claim | A | None |
| Q72.32 | Congenital absence of left foot and toe(s) | Can lead a claim | A | None |
| Q72.33 | Congenital absence of foot and toe(s), bilateral | Can lead a claim | A | None |
| Q72.4 Longitudinal reduction defect of femur | ||||
| Q72.40 | Longitudinal reduction defect of unspecified femur | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Q72.41 | Longitudinal reduction defect of right femur | Can lead a claim | A | None |
| Q72.42 | Longitudinal reduction defect of left femur | Can lead a claim | A | None |
| Q72.43 | Longitudinal reduction defect of femur, bilateral | Can lead a claim | A | None |
| Q72.5 Longitudinal reduction defect of tibia | ||||
| Q72.50 | Longitudinal reduction defect of unspecified tibia | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Q72.51 | Longitudinal reduction defect of right tibia | Can lead a claim | A | None |
| Q72.52 | Longitudinal reduction defect of left tibia | Can lead a claim | A | None |
| Q72.53 | Longitudinal reduction defect of tibia, bilateral | Can lead a claim | A | None |
| Q72.6 Longitudinal reduction defect of fibula | ||||
| Q72.60 | Longitudinal reduction defect of unspecified fibula | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Q72.61 | Longitudinal reduction defect of right fibula | Can lead a claim | A | None |
| Q72.62 | Longitudinal reduction defect of left fibula | Can lead a claim | A | None |
| Q72.63 | Longitudinal reduction defect of fibula, bilateral | Can lead a claim | A | None |
| Q72.7 Split foot | ||||
| Q72.70 | Split foot, unspecified lower limb | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Q72.71 | Split foot, right lower limb | Can lead a claim | A | None |
| Q72.72 | Split foot, left lower limb | Can lead a claim | A | None |
| Q72.73 | Split foot, bilateral | Can lead a claim | A | None |
| Q72.8 Other reduction defects of lower limb | ||||
| Q72.81 Congenital shortening of lower limb | ||||
| Q72.811 | Congenital shortening of right lower limb | Can lead a claim | A | None |
| Q72.812 | Congenital shortening of left lower limb | Can lead a claim | A | None |
| Q72.813 | Congenital shortening of lower limb, bilateral | Can lead a claim | A | None |
| Q72.819 | Congenital shortening of unspecified lower limb | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Q72.89 Other reduction defects of lower limb | ||||
| Q72.891 | Other reduction defects of right lower limb | Can lead a claim | A | None |
| Q72.892 | Other reduction defects of left lower limb | Can lead a claim | A | None |
| Q72.893 | Other reduction defects of lower limb, bilateral | Can lead a claim | A | None |
| Q72.899 | Other reduction defects of unspecified lower limb | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Q72.9 Unspecified reduction defect of lower limb | ||||
| Q72.90 | Unspecified reduction defect of unspecified lower limb | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Q72.91 | Unspecified reduction defect of right lower limb | Can lead a claim | A | None |
| Q72.92 | Unspecified reduction defect of left lower limb | Can lead a claim | A | None |
| Q72.93 | Unspecified reduction defect of lower limb, bilateral | Can lead a claim | A | None |
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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