Q05
Q05: Spina bifida
Non-billable headerICD-10-CM
Q05 is a non-billable header ICD-10-CM code for spina bifida. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Use additional code
Add a secondary code to capture the detail described below.
- code for any associated paraplegia (paraparesis) (G82.2-)
Includes
Conditions this code covers.
- hydromeningocele (spinal)
- meningocele (spinal)
- meningomyelocele
- myelocele
- myelomeningocele
- rachischisis
- spina bifida (aperta)(cystica)
- syringomyelocele
Other codes that can never be billed with Q05
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead Q05
10 child codes. Green means billable.
- Q05.0Cervical spina bifida with hydrocephalus
- Q05.1Thoracic spina bifida with hydrocephalus
- Q05.2Lumbar spina bifida with hydrocephalus
- Q05.3Sacral spina bifida with hydrocephalus
- Q05.4Unspecified spina bifida with hydrocephalus
- Q05.5Cervical spina bifida without hydrocephalus
- Q05.6Thoracic spina bifida without hydrocephalus
- Q05.7Lumbar spina bifida without hydrocephalus
- Q05.8Sacral spina bifida without hydrocephalus
- Q05.9Spina bifida, unspecified