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ICD-10-CM Code Q76.6
Other congenital malformations of ribs

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

Q76.6 is a billable ICD code used to specify a diagnosis of other congenital malformations of ribs. 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 Q76 is used to code Spondylocostal dysostosis

Spondylocostal dysostosis is a rare, heritable axial skeleton growth disorder. It is characterized by widespread and sometimes severe malformations of the vertebral column and ribs, shortened thorax, and moderate to severe scoliosis and kyphosis. Individuals with Jarcho-Levin typically appear to have a short trunk and neck, with arms appearing relatively long in comparison, and a slightly protuberant abdomen. Severely affected individuals may have life-threatening pulmonary complications due to deformities of the thorax. The syndrome was first described by Saul Jarcho and Paul M. Levin at Johns Hopkins University in 1938.

Specialty: Medical Genetics
ICD 9 Code: 756.9

Radiograph depicting typical skeletal features of Jarcho-Levin syndrome, subtype spondylothoracic dysplasia. Note fanlike configuration of the ribs, with extensive posterior fusion, along with multiple vertebral segmentation defects.

Source: Wikipedia

Coding Notes for Q76.6 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.
Accessory rib
Congenital absence of rib
Congenital fusion of ribs
Congenital malformation of ribs NOS
Code Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."
Short rib syndrome - instead, use code Q77.2

MS-DRG Mapping

  • DRG Group #205-206 - Other respiratory system diagnoses with MCC.
  • DRG Group #205-206 - Other respiratory system diagnoses without MCC.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

Other anomalies of ribs and sternum (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 Q76.6 and a single ICD9 code, 756.3 is an approximate match for comparison and conversion purposes.


Parent Code: Q76 - Congenital malformations of spine and bony thorax

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/Q766