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ICD-10-CM Code Q78.5
Metaphyseal dysplasia

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

Q78.5 is a billable ICD code used to specify a diagnosis of metaphyseal dysplasia. 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 Q785 is used to code Metaphyseal dysplasia

Metaphyseal dysplasia, also known as Pyle's disease, Pyle's syndrome, Pyle-Cohn syndrome, and Bakwin-Krida syndrome is a rare disease in which the outer part of the shafts of long bones is thinner than normal and there is an increased chance of fractures.

Specialty: Medical Genetics
ICD 9 Code: 756.9
Source: Wikipedia

Coding Notes for Q78.5 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.
Pyle's syndrome

MS-DRG Mapping

  • 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 'Q78.5 - Metaphyseal dysplasia'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Q78.5. Click on any term below to browse the alphabetical index.

Pyle's syndrome (Q78.5)
Fong's syndrome(hereditary osteo-onychodysplasia) (Q78.5)
Bakwin-Krida syndrome(craniometaphyseal dysplasia) (Q78.5)

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

Other osteodystrophies (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 Q78.5 and a single ICD9 code, 756.59 is an approximate match for comparison and conversion purposes.


Parent Code: Q78 - Other osteochondrodysplasias

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/Q785