Q76.0
Q76.0: Spina bifida occulta
Billable / specific codeICD-10-CMPOA exempt
Q76.0 is a billable, specific ICD-10-CM code for spina bifida occulta. It is valid for submission on a claim.
Check Q76.0 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Other codes that can never be billed with Q76.0
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.
Medicare coverage
Q76.0 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Alphabetic index entries that lead here
- Spina bifida›occulta
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under Q76
- Q76.1Klippel-Feil syndrome
- Q76.2Congenital spondylolisthesis
- Q76.3Congenital scoliosis due to congenital bony malformation
- Q76.4Other congenital malformations of spine, not associated with scoliosis
- Q76.5Cervical rib
- Q76.6Other congenital malformations of ribs
- Q76.7Congenital malformation of sternum
- Q76.8Other congenital malformations of bony thorax
- Q76.9Congenital malformation of bony thorax, unspecified