Q06.9
Q06.9: Congenital malformation of spinal cord, unspecified
Billable / specific codeICD-10-CMPOA exempt
Q06.9 is a billable, specific ICD-10-CM code for congenital malformation of spinal cord, unspecified. It is valid for submission on a claim.
Check Q06.9 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Congenital anomaly NOS of spinal cord
- Congenital deformity NOS of spinal cord
- Congenital disease or lesion NOS of spinal cord
Risk adjustment
Q06.9 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 182 Spinal Cord Disorders/Injuries0.478 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
Q06.9 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Alphabetic index entries that lead here
- Anomaly, anomalous›dura›spinal cord
- Anomaly, anomalous›meningeal bands or folds›spinal
- Anomaly, anomalous›meninges›spinal
- Anomaly, anomalous›spine, spinal NEC›cord
- Deformity›spinal›cord(congenital)
- Disease, diseased›spinal›congenital
- Lesion›spinal cord›congenital
- Malformation›dura›spinal
- Malformation›meninges or membrane›spinal(cord)
- Malformation›spinal›cord
Code history
Unchanged in every release from FY2024 to FY2027.