Is Q76.4 a billable ICD-10-CM code?

No. Q76.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Q76.4 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).

What cannot be coded together with Q76.4?

Q76.4 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above Q76.4 (Q76) and apply to it just the same.

Q76.4

Q76.4 — Other congenital malformations of spine, not associated with scoliosis

Non-billable headerICD-10-CM

Q76.4 is a non-billable header ICD-10-CM code for other congenital malformations of spine, not associated with scoliosis. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 inherited from the categories above Q76.4

These are not written on Q76.4, but they bind it: a note on a category applies to every code beneath it. Billing Q76.4 with anything listed here is a denial.

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 Q76.4

These codes carry an Excludes1 note pointing at Q76.4. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q76.4 alone.

M43Other deforming dorsopathies
M43.2Fusion of spine
M40Kyphosis and lordosis

Risk adjustment

Q76.4 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.

Code history

Q76.4 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead Q76.4

3 child codes. Green means billable.

Related codes at this level

Codes that share Q76. If Q76.4 is not quite right, the correct code is usually one of these.

Questions about Q76.4

Is Q76.4 a billable ICD-10-CM code?: No. Q76.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Q76.4 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).
What cannot be coded together with Q76.4?: Q76.4 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above Q76.4 (Q76) and apply to it just the same.