Q67.5

Q67.5: Congenital deformity of spine

Billable / specific codeICD-10-CMPOA exempt

Q67.5 is a billable, specific ICD-10-CM code for congenital deformity of spine. It is valid for submission on a claim.

Check Q67.5 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

infantile idiopathic scoliosis (M41.0)
scoliosis due to congenital bony malformation (Q76.3)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Congenital postural scoliosis
Congenital scoliosis NOS

Excludes1 inherited from the categories above Q67.5

A category’s note binds every code beneath it.

Written on Q67: Congenital musculoskeletal deformities of head, face, spine and chest

congenital malformation syndromes classified to Q87.-
Potter's syndrome (Q60.6)

Other codes that can never be billed with Q67.5

Their own Excludes1 notes name this code, so the conflict is not listed above.

M41Scoliosis
Q76Congenital malformations of spine and bony thorax

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

Q67.5 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A57204Billing and Coding: MRI and CT Scans of the Head and Neck
A57206Billing and Coding: Lumbar MRI

Alphabetic index entries that lead here

Kyphoscoliosis, kyphoscoliotic›congenital
Scoliosis›congenital
Curvature›spine›congenital
Deformity›spinal›congenital
Deformity›spine›congenital
Scoliosis›congenital›postural

Code history

Unchanged in every release from FY2024 to FY2027.