ICD-10-CM Code Q76.428
Congenital lordosis, sacral and sacrococcygeal region
Billable CodeBillable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
POA Exempt CodeThe Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.
Q76.428 is a billable ICD code used to specify a diagnosis of congenital lordosis, sacral and sacrococcygeal region. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
POA Indicators on CMS form 4010A are as follows:
|Indicator||Meaning||CMS Will Pay CC/MCC DRG Costs|
|Y||Diagnosis was present at time of inpatient admission||Yes|
|N||Diagnosis was not present at time of inpatient admission||No|
|U||Documentation insufficient to determine if the condition was present at the time of inpatient admission.||No|
|W||Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission.||Yes|
|1||Exempt from POA reporting||No|
The ICD code Q764 is used to code Kyphosis
Kyphosis (from Greek κυφός kyphos, a hump) refers to the abnormally excessive convex kyphotic curvature of the spine as it occurs in the thoracic and sacral regions. (Inward concave curving of the cervical and lumbar regions of the spine is called lordosis.) Kyphosis can be called roundback or Kelso's hunchback. It can result from degenerative diseases such as arthritis; developmental problems, most commonly Scheuermann's disease; osteoporosis with compression fractures of the vertebra; Multiple myeloma or trauma. A normal thoracic spine extends from the 1st to the 12th vertebra and should have a slight kyphotic angle, ranging from 20° to 45°. When the "roundness" of the upper spine increases past 45° it is called kyphosis or "hyperkyphosis". Scheuermann's kyphosis is the most classic form of hyperkyphosis and is the result of wedged vertebrae that develop during adolescence. The cause is not currently known and the condition appears to be multifactorial and is seen more frequently in males than females.
|MeSH Codes:||D007738, D007738, D007738, D007738|
|ICD 9 Codes:||732.0, 737.0, 737.1, 756.19|
A preoperative image of a 22-year-old man with Scheuermann's disease, a type of structural kyphosis
- DRG Group #456-458 - Spinal fus except cerv with spinal curv or malig or infec or 9+ fus with MCC.
- DRG Group #456-458 - Spinal fus except cerv with spinal curv or malig or infec or 9+ fus with CC.
- DRG Group #456-458 - Spinal fus except cerv with spinal curv or malig or infec or 9+ fus without CC or MCC.
- DRG Group #564-566 - Other musculoskeletal system and connective tissue diagnoses with MCC.
- DRG Group #564-566 - Other musculoskeletal system and connective tissue diagnoses with CC.
- DRG Group #564-566 - Other musculoskeletal system and connective tissue diagnoses without CC or MCC.
ICD-10-CM Alphabetical Index References for 'Q76.428 - Congenital lordosis, sacral and sacrococcygeal region'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Q76.428. Click on any term below to browse the alphabetical index.
Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code Q76.428 and a single ICD9 code, 754.2 is an approximate match for comparison and conversion purposes.