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ICD-10-CM Code Q76.49
Other congenital malformations of spine, not associated with scoliosis

BILLABLE
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
POA Exempt
POA Exempt Code
The 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.
| ICD-10 from 2011 - 2016

Q76.49 is a billable ICD code used to specify a diagnosis of other congenital malformations of spine, not associated with scoliosis. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

POA Indicators on CMS form 4010A are as follows:

IndicatorMeaningCMS Will Pay CC/MCC DRG Costs
YDiagnosis was present at time of inpatient admissionYes
NDiagnosis was not present at time of inpatient admissionNo
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.No
WClinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission.Yes
1Exempt from POA reportingNo


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.

Specialty: Orthopedics
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

Source: Wikipedia

Coding Notes for Q76.49 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
Congenital absence of vertebra NOS
Congenital fusion of spine NOS
Congenital malformation of lumbosacral (joint) (region) NOS
Congenital malformation of spine NOS
Hemivertebra NOS
Malformation of spine NOS
Platyspondylisis NOS
Supernumerary vertebra NOS

MS-DRG Mapping

  • DRG Group #551-552 - Medical back problems with MCC.
  • DRG Group #551-552 - Medical back problems without MCC.

Related Concepts SNOMET-CT

  • Congenital deformity of lumbosacral region (disorder)

ICD-10-CM Alphabetical Index References for 'Q76.49 - Other congenital malformations of spine, not associated with scoliosis'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Q76.49. Click on any term below to browse the alphabetical index.

Sacralization (Q76.49)
Platyspondylisis (Q76.49)
Lumbarization, vertebra, congenital (Q76.49)
Half vertebra (Q76.49)
Hemivertebra (Q76.49)
Brevicollis (Q76.49)

Equivalent ICD-9 Codes GENERAL EQUIVALENCE MAPPINGS (GEM)

Absence of vertebra, congenital (approximate match)
Hemivertebra (approximate match)
Fusion of spine (vertebra), congenital (approximate match)
Other anomalies of spine (approximate match)

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 Q76.49 and a single ICD9 code, 756.19 is an approximate match for comparison and conversion purposes.


Parent Code: Q76.4 - Other congenital malformations of spine, not associated with scoliosis

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/Q7649