Q78.0 — Osteogenesis imperfecta
Q78.0 is a billable, specific ICD-10-CM code for osteogenesis imperfecta. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Fragilitas ossium
- Osteopsathyrosis
Other codes that can never be billed with Q78.0
These codes carry an Excludes1 note pointing at Q78.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q78.0 alone.
- M85Other disorders of bone density and structure
Risk adjustment
Q78.0 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
Q78.0 is named in 12 Medicare coverage policies — 12 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56416Billing and Coding: Assays for Vitamins and Metabolic Function
- A56841Billing and Coding: Vitamin D; 25 hydroxy, includes fraction(s), if performed
- A56907Billing and Coding: Bisphosphonate Drug Therapy
- A57132Billing and Coding: Bone Mass Measurement
How Q78.0 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 Q78.0.
- Adair-Dighton syndrome(brittle bones and blue sclera, deafness)
- Eddowes syndrome(-Spurway)
- Ekman's syndrome(brittle bones and blue sclera)
- Lobstein disease or syndrome(-Ekman)
- Osteogenesis imperfecta
- Osteopsathyrosis(idiopathica)
- Spurway's syndrome
- Van der Hoeve syndrome(-de Kleyn)
- Vrolik's disease
- Brittle›bones disease
- Deafness›with blue sclera and fragility of bone
- Disease, diseased›Eddowes'(brittle bones and blue sclera)
Related codes at this level
Codes that share Q78. If Q78.0 is not quite right, the correct code is usually one of these.
Questions about Q78.0
- Is Q78.0 a billable ICD-10-CM code?
- Yes. Q78.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Q78.0 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).