Q76.3

Q76.3: Congenital scoliosis due to congenital bony malformation

Billable / specific codeICD-10-CMPOA exempt

Q76.3 is a billable, specific ICD-10-CM code for congenital scoliosis due to congenital bony malformation. It is valid for submission on a claim.

Check Q76.3 with the rest of the claim: free scrubber

Inclusion terms

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

Hemivertebra fusion or failure of segmentation with scoliosis

Excludes1 inherited from the categories above Q76.3

A category’s note binds every code beneath it.

Written on Q76: Congenital malformations of spine and bony thorax

congenital musculoskeletal deformities of spine and chest (Q67.5-Q67.8)

Other codes that can never be billed with Q76.3

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

M43Other deforming dorsopathies
M41Scoliosis
Q67.5Congenital deformity of spine

Risk adjustment

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

Medicare coverage

Q76.3 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A57206Billing and Coding: Lumbar MRI

Alphabetic index entries that lead here

Hemivertebra›failure of segmentation with scoliosis
Hemivertebra›fusion with scoliosis
Scoliosis›congenital›due to bony malformation
Scoliosis›congenital›failure of segmentation(hemivertebra)
Scoliosis›congenital›hemivertebra fusion
Failure, failed›segmentation›vertebra›with scoliosis

Code history

Unchanged in every release from FY2024 to FY2027.