MCMCB Pro
Q07.01

Q07.01Arnold-Chiari syndrome with spina bifida

Billable / specific codeICD-10-CMPOA exempt

Q07.01 is a billable, specific ICD-10-CM code for arnold-chiari syndrome with spina bifida. It is valid for submission on a claim.

Risk adjustment

Q07.01 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.

Medicare coverage

Q07.01 is named in 17 Medicare coverage policies 17 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A54095Billing and Coding: Nerve Conduction Studies and Electromyography
  • A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
  • A54969Billing and Coding: Nerve Conduction Studies and Electromyography
  • A56619Billing and Coding: Nerve Conduction Studies and Electromyography

How Q07.01 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Q07.01.

  • Arnold-Chiari disease, obstruction or syndromewithspina bifida
  • MalformationChiariType II
  • SyndromeDandy-Walkerwith spina bifida

Related codes at this level

Codes that share Q07.0. If Q07.01 is not quite right, the correct code is usually one of these.

Questions about Q07.01

Is Q07.01 a billable ICD-10-CM code?
Yes. Q07.01 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Q07.01 sit in the tabular list?
Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of the nervous system (Q00-Q07).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.