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Q76.49

Q76.49: Other congenital malformations of spine, not associated with scoliosis

Billable / specific codeICD-10-CMPOA exempt

Q76.49 is a billable, specific ICD-10-CM code for other congenital malformations of spine, not associated with scoliosis. It is valid for submission on a claim.

Check Q76.49 with the rest of the claim: free scrubber

Inclusion terms

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

  • Congenital absence of vertebra NOS
  • Congenital fusion of spine NOS
  • Congenital malformation of lumbosacral (joint) (region) NOS
  • Congenital malformation of spine NOS
  • Hemivertebra NOS
  • Malformation of spine NOS
  • Platyspondylisis NOS
  • Supernumerary vertebra NOS

Excludes1 inherited from the categories above Q76.49

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)

Risk adjustment

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

Medicare coverage

Q76.49 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

  • Brevicollis
  • Half vertebra
  • Hemivertebra
  • Lumbarization, vertebra, congenital
  • Platyspondylisis
  • Sacralization
  • Absence›coccyx, congenital
  • Absence›sacrum, congenital
  • Absence›spine, congenital
  • Absence›vertebra, congenital
  • Accessory›vertebra
  • Agenesis›coccyx

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Q76.4

ICD-10-CMFY2027· effective October 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.