MCMCB Pro
Q76.428

Q76.428Congenital lordosis, sacral and sacrococcygeal region

Billable / specific codeICD-10-CMPOA exempt

Q76.428 is a billable, specific ICD-10-CM code for congenital lordosis, sacral and sacrococcygeal region. It is valid for submission on a claim.

Risk adjustment

Q76.428 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

Q76.428 is named in 1 Medicare coverage policy 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A57206Billing and Coding: Lumbar MRI

How Q76.428 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 Q76.428.

  • Lordosiscongenitalsacral region
  • Lordosiscongenitalsacrococcygeal region

Related codes at this level

Codes that share Q76.42. If Q76.428 is not quite right, the correct code is usually one of these.

Questions about Q76.428

Is Q76.428 a billable ICD-10-CM code?
Yes. Q76.428 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Q76.428 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).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.