DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

Q76 Congenital malformations of spine and bony thorax

  • Header · not billable

Q76 is not billable. The category heads 21 billable codes in FY2027, grouped under 10 subdivisions.

Index → code

Where it sits

  1. Chapter 17 Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders (Q00-QA1)
  2. Q65-Q79 Congenital malformations and deformations of the musculoskeletal system (Q65-Q79)
  3. Q76 Congenital malformations of spine and bony thorax
Billable codes
21
Subdivisions
10
CC / MCC codes
10 / 0
HCC V28 codes
0
New FY2027
0
Index entries
115

Codes in Q76

  1. Q76.0
    Spina bifida occulta
    BillableExempt
    Excludes1 2

    Excludes1

    • meningocele (spinal) (Q05.-) Q05
    • spina bifida (aperta) (cystica) (Q05.-) Q05
  2. Q76.1
    Klippel-Feil syndrome
    BillableExempt
    Inclusion terms 1

    Inclusion terms

    • Cervical fusion syndrome
  3. Q76.2
    Congenital spondylolisthesis
    BillableExempt
    Inclusion terms 1, Excludes1 2

    Inclusion terms

    • Congenital spondylolysis

    Excludes1

    • spondylolisthesis (acquired) (M43.1-) M43.1
    • spondylolysis (acquired) (M43.0-) M43.0
  4. Q76.3
    Congenital scoliosis due to congenital bony malformation
    BillableCCExempt
    Inclusion terms 1

    Inclusion terms

    • Hemivertebra fusion or failure of segmentation with scoliosis
  5. Q76.4
    Other congenital malformations of spine, not associated with scoliosis
    Header
  6. Q76.41
    Congenital kyphosis
    Header
  7. Q76.411
    Congenital kyphosis, occipito-atlanto-axial region
    BillableExempt
  8. Q76.412
    Congenital kyphosis, cervical region
    BillableExempt
  9. Q76.413
    Congenital kyphosis, cervicothoracic region
    BillableExempt
  10. Q76.414
    Congenital kyphosis, thoracic region
    BillableExempt
  11. Q76.415
    Congenital kyphosis, thoracolumbar region
    BillableExempt
  12. Q76.419
    Congenital kyphosis, unspecified region
    BillableExempt
  13. Q76.42
    Congenital lordosis
    Header
  14. Q76.425
    Congenital lordosis, thoracolumbar region
    BillableCCExempt
  15. Q76.426
    Congenital lordosis, lumbar region
    BillableCCExempt
  16. Q76.427
    Congenital lordosis, lumbosacral region
    BillableCCExempt
  17. Q76.428
    Congenital lordosis, sacral and sacrococcygeal region
    BillableCCExempt
  18. Q76.429
    Congenital lordosis, unspecified region
    BillableCCExempt
  19. Q76.49
    Other congenital malformations of spine, not associated with scoliosis
    BillableExempt
    Inclusion terms 8

    Inclusion terms

    • 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
  20. Q76.5
    Cervical rib
    BillableExempt
    Inclusion terms 1

    Inclusion terms

    • Supernumerary rib in cervical region
  21. Q76.6
    Other congenital malformations of ribs
    BillableCCExempt
    Inclusion terms 4, Excludes1 1

    Inclusion terms

    • Accessory rib
    • Congenital absence of rib
    • Congenital fusion of ribs
    • Congenital malformation of ribs NOS

    Excludes1

    • short rib syndrome (Q77.2) Q77.2
  22. Q76.7
    Congenital malformation of sternum
    BillableCCExempt
    Inclusion terms 2

    Inclusion terms

    • Congenital absence of sternum
    • Sternum bifidum
  23. Q76.8
    Other congenital malformations of bony thorax
    BillableCCExempt
  24. Q76.9
    Congenital malformation of bony thorax, unspecified
    BillableCCExempt

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column.

Instructions

At Q76

Excludes1

  • congenital musculoskeletal deformities of spine and chest (Q67.5-Q67.8) Q67.5 Q67.8

Notes that also apply

Chapter 17 instructions (Notes 1, Excludes2 1): printed on the chapter 17 page.

Index entries

  • Feil-Klippel syndrome (brevicollis) → Q76.1
  • Klippel-Feil deficiency, disease, or syndrome (brevicollis) → Q76.1
  • Prespondylolisthesis (congenital) → Q76.2
  • Brevicollis → Q76.49
  • Half vertebra → Q76.49
  • Hemivertebra → Q76.49
  • Lumbarization, vertebra, congenital → Q76.49
  • Platyspondylisis → Q76.49
  • Sacralization → Q76.49
  • Sternum bifidum → Q76.7
  • Spina bifida (aperta)occulta → Q76.0
  • Anomaly, anomalous (congenital) (unspecified type)Klippel-Feil (brevicollis) → Q76.1
  • Cervicalfusion syndrome → Q76.1
  • DeformityKlippel-Feil (brevicollis) → Q76.1
  • Disease, diseasedKlippel-Feil (brevicollis) → Q76.1
  • SyndromeFeil-Klippel (brevicollis) → Q76.1
  • SyndromeKlippel-Feil (brevicollis) → Q76.1
  • Spondylolisthesis (acquired) (degenerative)congenital → Q76.2
  • Spondylolysis (acquired)congenital → Q76.2
  • Hemivertebrafailure of segmentation with scoliosis → Q76.3
  • Hemivertebrafusion with scoliosis → Q76.3
  • Kyphosis, kyphotic (acquired)congenital → Q76.419
  • Lordosiscongenital → Q76.429
  • Absence (of) (organ or part) (complete or partial)coccyx, congenital → Q76.49
  • Absence (of) (organ or part) (complete or partial)sacrum, congenital → Q76.49
  • Absence (of) (organ or part) (complete or partial)spine, congenital → Q76.49
  • Absence (of) (organ or part) (complete or partial)vertebra, congenital → Q76.49
  • Accessory (congenital)vertebra → Q76.49
  • Agenesiscoccyx → Q76.49
  • Agenesissacrum → Q76.49
  • Agenesisspine → Q76.49
  • Agenesisvertebra → Q76.49
  • Anomaly, anomalous (congenital) (unspecified type)coccyx → Q76.49
  • Anomaly, anomalous (congenital) (unspecified type)intervertebral cartilage or disc → Q76.49
  • Anomaly, anomalous (congenital) (unspecified type)lumbosacral (joint) (region) → Q76.49
  • Anomaly, anomalous (congenital) (unspecified type)sacrum NEC → Q76.49
  • Anomaly, anomalous (congenital) (unspecified type)spine, spinal NEC → Q76.49
  • Anomaly, anomalous (congenital) (unspecified type)vertebra → Q76.49
  • Bifurcation (congenital)vertebra → Q76.49
  • Deformitylumbosacral (congenital) (joint) (region) → Q76.49

75 more, longer entries are not listed; the search box finds them by word.

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy