Q76.3 — Congenital scoliosis due to congenital bony malformation
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.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Hemivertebra fusion or failure of segmentation with scoliosis
Other codes that can never be billed with Q76.3
These codes carry an Excludes1 note pointing at Q76.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q76.3 alone.
Risk adjustment
Q76.3 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
Q76.3 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A57206Billing and Coding: Lumbar MRI
How Q76.3 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 Q76.3.
- 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
Related codes at this level
Codes that share Q76. If Q76.3 is not quite right, the correct code is usually one of these.
- Q76.0Spina bifida occulta
- Q76.1Klippel-Feil syndrome
- Q76.2Congenital spondylolisthesis
- 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
Questions about Q76.3
- Is Q76.3 a billable ICD-10-CM code?
- Yes. Q76.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Q76.3 sit in the tabular list?
- Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations and deformations of the musculoskeletal system (Q65-Q79).