Q07.9 — Congenital malformation of nervous system, unspecified
Q07.9 is a billable, specific ICD-10-CM code for congenital malformation of nervous system, unspecified. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Congenital anomaly NOS of nervous system
- Congenital deformity NOS of nervous system
- Congenital disease or lesion NOS of nervous system
Risk adjustment
Q07.9 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.
Medicare coverage
Q07.9 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
How Q07.9 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 Q07.9.
- Anomaly, anomalous›gyri
- Anomaly, anomalous›meningeal bands or folds
- Anomaly, anomalous›meninges
- Anomaly, anomalous›nerve
- Anomaly, anomalous›nervous system(central)
- Deformity›meninges or membrane(congenital)
- Deformity›nervous system(congenital)
- Dysplasia›brain
- Encephalopathy›congenital
- Lesion›nervous system, congenital
- Maldevelopment›brain
- Malformation›dura
Related codes at this level
Codes that share Q07. If Q07.9 is not quite right, the correct code is usually one of these.
Questions about Q07.9
- Is Q07.9 a billable ICD-10-CM code?
- Yes. Q07.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Q07.9 sit in the tabular list?
- Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of the nervous system (Q00-Q07).